| NPI | 1619064086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN HEYSINGER Physical Therapist/Co Owner 563-583-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03142) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-06-13 |