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Organization
NEUROREACH PT LLC
Active
Organization
NEUROREACH PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY WAGENAAR PT, DPT (OWNER/PHYSICAL THERAPIST)
(712) 461-0135
Entity
Organization
Contact information
Practice address
1142 MARY LN, NORTH LIBERTY, IA 52317-8710
(712) 461-0135
Mailing address
1142 MARY LN, NORTH LIBERTY, IA 52317-8710
(712) 461-0135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
Other
Enumeration date
09/28/2026
Last updated
09/28/2026
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