# BLUE STONE THERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003679366
- **Authorized official:** THERESA JOHNSON (COO)
- **Authorized official phone:** (515) 225-4070

## Contact information

- **Practice address:** 4319 NW URBANDALE DR, URBANDALE, IA 50322-7910
- **Practice address phone:** (515) 225-4070
- **Practice address fax:** (515) 985-5003
- **Mailing address:** 4319 NW URBANDALE DR, URBANDALE, IA 50322-7910
- **Mailing address phone:** (515) 225-4070
- **Mailing address fax:** (515) 985-5003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024