# BOONE REHABILITATION SERVICES P C

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

## Provider details

- **NPI number:** 1114585585
- **Authorized official:** RONALD JACOB STOTTS (OWNER)
- **Authorized official phone:** (877) 424-9321

## Contact information

- **Practice address:** 245 W WALNUT ST, OGDEN, IA 50212-7701
- **Practice address phone:** (877) 424-9321
- **Practice address fax:** (515) 275-2534
- **Mailing address:** 125 W WALNUT ST, OGDEN, IA 50212-2046
- **Mailing address phone:** (877) 424-9321
- **Mailing address fax:** (515) 275-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2019
- **Last updated:** 05/31/2019