| NPI | 1669877056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LYNN KONGSHAUG Owner 319-333-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 3530) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |