# EASTERN IOWA THERAPEUTICS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Athletico Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184091852
- **Authorized official:** GERI COOK (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (630) 575-1940

## Contact information

- **Practice address:** 5300 FOUNTAINS DR NE, CEDAR RAPIDS, IA 52411-6607
- **Practice address phone:** (319) 378-6958
- **Mailing address:** 625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
- **Mailing address phone:** (630) 575-6250
- **Mailing address fax:** (630) 575-7450

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2015
- **Last updated:** 10/27/2016