Mitchell Herman Fonley, PT

NPI #1992758163 in Waterloo, Iowa

Provider Information

NPI Number: 1992758163
Entity Type: Individual
Name: Mitchell Herman Fonley, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 18, 2006
Last Updated: Feb 4, 2022

Practice Location

Address: 1631 LOGAN AVE
City: Waterloo
State: Iowa
ZIP Code: 50703-1237
Phone: (319) 232-2630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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