# MILLENNIUM REHAB & CONSULTING, INC.

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

## Provider details

- **NPI number:** 1336193986
- **Authorized official:** HOLLY LITTLE (COO)
- **Authorized official phone:** (515) 331-3190

## Contact information

- **Practice address:** 2300 SWAN LAKE BLVD, SUITE 103, INDEPENDENCE, IA 50644-9708
- **Practice address phone:** (319) 334-5155
- **Practice address fax:** (319) 334-6166
- **Mailing address:** 4725 MERLE HAY RD STE 207, DES MOINES, IA 50322-1983
- **Mailing address phone:** (515) 331-3190
- **Mailing address fax:** (515) 331-3191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 05/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0665802 | — | IA |
| 01 | — | 66574 | WELLMARK BC/BS GROUP \# | IA |