# WOLTZ PHYSICAL THERAPY PC

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

## Provider details

- **NPI number:** 1760455166
- **Authorized official:** JON WOLTZ PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (319) 352-0102

## Contact information

- **Practice address:** 413 W BREMER AVE, WAVERLY, IA 50677-3145
- **Practice address phone:** (319) 352-0102
- **Practice address fax:** (319) 352-0104
- **Mailing address:** 413 W BREMER AVE, WAVERLY, IA 50677-3145
- **Mailing address phone:** (319) 352-0102
- **Mailing address fax:** (319) 352-0104

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 10/30/2007
