# ADEL PHYSICAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clark M F R Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205994662
- **Authorized official:** STEVEN R. CLARK DPT (PRESIDENT & TREASURER)
- **Authorized official phone:** (515) 327-0046

## Contact information

- **Practice address:** 1454 30TH ST, SUITE 109, WEST DES MOINES, IA 50266-1305
- **Practice address phone:** (515) 327-0046
- **Practice address fax:** (515) 327-9389
- **Mailing address:** 102 S 7TH ST, ADEL, IA 50003-1831
- **Mailing address phone:** (515) 993-5599
- **Mailing address fax:** (515) 993-1964

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0483784 | — | IA |