# SPORTS REHAB AND PROFESSIONAL THERAPY ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sports Rehab & Professional Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033289749
- **Authorized official:** THERESA LYNN GODFREY (CLINIC ADMIN DIRECTOR)
- **Authorized official phone:** (402) 334-6025

## Contact information

- **Practice address:** 315 W 5TH ST, STORM LAKE, IA 50588-1743
- **Practice address phone:** (712) 732-7724
- **Practice address fax:** (712) 560-9253
- **Mailing address:** 315 W 5TH ST, STORM LAKE, IA 50588-1743
- **Mailing address phone:** (712) 732-7724
- **Mailing address fax:** (712) 732-5153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 04/18/2024