| Organization Name: | CENTRAL IOWA PHYSIO LLC |
| NPI Number: | 1215327283 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY) |
| Mailing Address: | 55 Central Iowa Dr Suite 70 Marshalltown |
| State: | IA US |
| Postal Code: | 50158 |
| Phone Number: | 6417546120 |
| Fax Number: | 6417545019 |
| NPI Enumeration Date: | 01/29/2015 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |