NPI | 1063045540 |
---|---|
Doing Business As | IMPACT HEALTH & PERFORMANCE |
Entity Type | Organization |
Authorized Contact | CASEY RAY NEGRETE Owner, Physical Therapist 319-461-2031 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |