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Organization
IMPACT PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization
IMPACT PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN ROED PT, DPT, CMPT (PHYSICAL THERAPIST/OWNER)
(712) 560-0460
Entity
Organization
Contact information
Practice address
4295 SERGEANT RD, SIOUX CITY, IA 51106
(515) 664-2149
Mailing address
4295 SERGEANT RD, SIOUX CITY, IA 51106-4625
(712) 560-0460
(712) 560-0460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004816
IA
Other
Enumeration date
04/12/2018
Last updated
06/21/2018
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