Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GREAT LAKES PHYSICAL THERAPY, PC
Active
Organization
GREAT LAKES PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JON HALLAND PT (PHYSICAL THERAPIST)
(712) 320-2722
Entity
Organization
Contact information
Practice address
3301 BERGQUIST AVE, SPIRIT LAKE, IA 51360-7268
(712) 336-2722
Mailing address
3301 BERGQUIST AVEUE, SPIRIT LAKE, IA 51360-7268
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
00807
IA
261QP2000X
Physical Therapy Clinic/Center
Primary
00868
IA
261QP2000X
Physical Therapy Clinic/Center
01261
IA
261QP2000X
Physical Therapy Clinic/Center
01929
IA
261QP2000X
Physical Therapy Clinic/Center
03253
IA
261QR0400X
Rehabilitation Clinic/Center
01681
IA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
055168
IA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers