# SIOUXLAND CORE PHYSICAL THERAPY AND PILATES LLC

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

## Provider details

- **NPI number:** 1134588791
- **Authorized official:** LAUREN COLLIER PETERSON PT (OWNER)
- **Authorized official phone:** (405) 230-6330

## Contact information

- **Practice address:** 1000 JACKSON ST, SIOUX CITY, IA 51105-1431
- **Practice address phone:** (712) 258-0202
- **Mailing address:** 1000 JACKSON ST, SIOUX CITY, IA 51105-1431
- **Mailing address phone:** (712) 258-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 076040 | IA | Yes |

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 02/11/2016