| Organization Name: | PHYSIOTHERAPY ASSOCIATES, INC. |
| NPI Number: | 1326240177 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY) |
| Mailing Address: | 111 Sale Barn Rd Suite 3 Storm Lake |
| State: | IA US |
| Postal Code: | 505887341 |
| Phone Number: | 7122131500 |
| Fax Number: | 7122131502 |
| NPI Enumeration Date: | 06/04/2007 |
| 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: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |