# JASON J. PUTZ PHYSICAL THERAPY P.C.

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

## Provider details

- **NPI number:** 1306033568
- **Authorized official:** JASON J PUTZ P.T. (DIRECTOR/PHYSICAL THERAPIST)
- **Authorized official phone:** (563) 875-8615

## Contact information

- **Practice address:** 613 1/2 16TH AVE SE, DYERSVILLE, IA 52040-2050
- **Practice address phone:** (563) 875-8615
- **Practice address fax:** (563) 875-8722
- **Mailing address:** 613 1/2 16TH AVE SE, DYERSVILLE, IA 52040-2050
- **Mailing address phone:** (563) 875-8615
- **Mailing address fax:** (563) 875-8722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 03051 | IA | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/24/2007