Blue Stone Therapy INC.
Physical Medicine & Rehabilitation in Urbandale, IA. Organization (NPI-2).
NPI number1003679366
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1003679366
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Stone Therapy INC.
- Organization subpart
- No
- Enumeration date
- Jan 31, 2024
- Certification date
- Jan 17, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
4319 Nw Urbandale DrUrbandale, IA 50322-7910
Phone 515-225-4070 · Fax 515-985-5003
Mailing address
4319 Nw Urbandale DrUrbandale, IA 50322-7910
Phone 515-225-4070 · Fax 515-985-5003
Authorized official
Theresa Johnson
Coo
5152254070
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