| NPI | 1588952196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL SHORT Owner 515-332-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 1455) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2013-01-16 |