| NPI | 1841856762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MICHAEL LADD Owner 515-339-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-03-29 |