# KEPROS PHYSICAL THERAPY AND PERFORMANCE, P.C.

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

## Provider details

- **NPI number:** 1457779019
- **Authorized official:** MR. THEODORE JOHN KEPROS PT, MPT, MTC (OWNER)
- **Authorized official phone:** (319) 361-3546

## Contact information

- **Practice address:** 101 3RD AVE SW, SUITE 102, CEDAR RAPIDS, IA 52404-5736
- **Practice address phone:** (319) 361-3546
- **Mailing address:** 101 3RD AVE SW, SUITE 102, CEDAR RAPIDS, IA 52404-5736

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2014
- **Last updated:** 04/01/2014