# LIGHTNING REHABILITATION & FITNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lightning Rehab & Fitness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720847452
- **Authorized official:** TYLER ROGERS (OWNER)
- **Authorized official phone:** (319) 759-6620

## Contact information

- **Practice address:** 2280 PEORIA AVENUE, SPIRIT LAKE, IA 51360
- **Practice address phone:** (319) 759-6620
- **Mailing address:** 2280 PEORIA AVENUE, SPIRIT LAKE, IA 51360
- **Mailing address phone:** (319) 759-6620

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 03/15/2024