Jonathan Groskreutz, PT
Physical Therapist in Orange City, IA. Individual provider (NPI-1).
NPI number1336236892
StatusActive
Last updated in NPPESFeb 9, 2023
Details
- NPI
- 1336236892
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Groskreutz
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2006
- Certification date
- Feb 9, 2023
- Last updated
- Feb 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4296 | MN | Yes |
Practice location
101 3rd St NwOrange City, IA 51041-1307
Phone 712-707-6060 · Fax 712-707-6062
Mailing address
101 3rd St NwOrange City, IA 51041-1307
Phone 712-707-5050
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