David Edwin Wiley, PT
Physical Therapist in Lansing, IA. Individual provider (NPI-1).
NPI number1295059244
StatusActive
Last updated in NPPESMar 19, 2010
Details
- NPI
- 1295059244
- Entity type
- Individual (NPI-1)
- Name
- David Edwin Wiley
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2010
- Last updated
- Mar 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4399-24 | WI | Yes |
Practice location
1656 Village Creek DrLansing, IA 52151-7571
Phone 608-386-0372
Mailing address
Po Box 553Lansing, IA 52151-0553
Phone 608-386-0372
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