# CLINTON PHYSICAL THERAPY SERVICES, P.C.

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

## Provider details

- **NPI number:** 1548271612
- **Authorized official:** MR. GARY D. VANDE KAMP P.T. (PRESIDENT)
- **Authorized official phone:** (563) 357-0305

## Contact information

- **Practice address:** 240 N BLUFF BLVD STE 101, CLINTON, IA 52732-7146
- **Practice address phone:** (563) 243-1642
- **Practice address fax:** (563) 243-8329
- **Mailing address:** 240 N BLUFF BLVD STE 101, P.O. BOX 337, CLINTON, IA 52732-7146
- **Mailing address phone:** (563) 243-1642
- **Mailing address fax:** (563) 243-8329

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 11/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0111013 | MEDICAID DME | IA |
| 05 | — | 0271825 | — | IA |
| 05 | — | 1271825 | — | IA |