# PROACTIVE PHYSICAL THERAPY & SPORTS REHAB, INC

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

## Provider details

- **NPI number:** 1487773602
- **Authorized official:** JULIE ARENDS MPT (CO-OWNER)
- **Authorized official phone:** (712) 722-1902

## Contact information

- **Practice address:** 110 16TH ST SW, SIOUX CENTER, IA 51250-2944
- **Practice address phone:** (712) 722-1902
- **Practice address fax:** (712) 722-1905
- **Mailing address:** 110 16TH ST NW, SIOUX CENTER, IA 51250-1535
- **Mailing address phone:** (712) 722-1902
- **Mailing address fax:** (712) 722-1905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 09/24/2015
