West Des Moines Physical Therapy and Sports Rehabilitation, Pllc

NPI #1073875779 in West Des Moines, Iowa

Provider Information

NPI Number: 1073875779
Entity Type: Organization
Organization Name: West Des Moines Physical Therapy and Sports Rehabilitation, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Jun 9, 2012
Last Updated: Jun 12, 2012

Practice Location

Address: 3701 EP TRUE PKWY
Address 2: SUITE 300
City: West Des Moines
State: Iowa
ZIP Code: 50265-7696
Phone: (515) 480-8038

Authorized Official

Name: DR. BRIAN SHELLENBERGER, D.P.T.
Title: PRESIDENT
Phone: (515) 771-8779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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