# SHORT PHYSICAL THERAPY, PLLC

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

## Provider details

- **NPI number:** 1588952196
- **Authorized official:** DARYL SHORT DPT (OWNER)
- **Authorized official phone:** (515) 332-7900

## Contact information

- **Practice address:** 1212 5TH AVE N, HUMBOLDT, IA 50548-1105
- **Practice address phone:** (515) 332-7900
- **Practice address fax:** (866) 369-7397
- **Mailing address:** 1212 5TH AVE N, HUMBOLDT, IA 50548-1105
- **Mailing address phone:** (515) 332-7900
- **Mailing address fax:** (866) 369-7397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1455 | IA | Yes |

## Other

- **Enumeration date:** 07/16/2011
- **Last updated:** 01/16/2013