# PHYSICAL AND SPORTS SERVICES PC

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

## Provider details

- **NPI number:** 1447752142
- **Authorized official:** SHEILA PAULS (OFFICE MANAGER)
- **Authorized official phone:** (563) 652-4364

## Contact information

- **Practice address:** 616 W PLATT ST, MAQUOKETA, IA 52060-2118
- **Practice address phone:** (563) 652-4364
- **Mailing address:** 616 W PLATT ST, MAQUOKETA, IA 52060-2118
- **Mailing address phone:** (563) 652-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 00769 | IA | Yes |

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 04/10/2018