Integrated Physical Therapy and Sports Medicine Pllc

NPI #1083963037 in Des Moines, Iowa

Provider Information

NPI Number: 1083963037
Entity Type: Organization
Organization Name: Integrated Physical Therapy and Sports Medicine Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Sep 6, 2012
Last Updated: Nov 6, 2012

Practice Location

Address: 1515 LINDEN ST
Address 2: SUITE 100
City: Des Moines
State: Iowa
ZIP Code: 50309-3120
Phone: (515) 288-0569

Authorized Official

Name: TATE C VAN HOUTEN, DPT
Title: OWNER/PHYSICAL THERAPIST
Phone: (515) 288-0569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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