# FULL CIRCLE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1710205943
- **Authorized official:** ROXANNE JACKSON MPT (OWNER/CEO)
- **Authorized official phone:** (563) 608-2061

## Contact information

- **Practice address:** 1953 145TH AVE, MANCHESTER, IA 52057-8826
- **Practice address phone:** (563) 608-2061
- **Practice address fax:** (563) 927-8138
- **Mailing address:** 1953 145TH AVE, MANCHESTER, IA 52057-8826
- **Mailing address phone:** (563) 608-2061
- **Mailing address fax:** (563) 927-8138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 02524 | IA | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/12/2010