| Doctor Name: | MR. AUSTIN ALAN ISHAM |
| NPI Number: | 1477809226 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | |
| Business Practice Address: | 2740 1st Ave Ne #1 Cedar Rapids, IA - 524024856 |
| Business Phone Number: | 3193986034 |
| Business Fax Number: | |
| Mailing Address: | 453 Churchill Dr, NORTH LIBERTY |
| State: | IA |
| Postal Code: | 52317 |
| Phone Number: | 9132269231 |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2012 |
| NPI Last Update Date: | 03/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |