# SPORTSPLUS PHYSICAL THERAPY GC LLC

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

## Provider details

- **NPI number:** 1790140234
- **Authorized official:** SCOTT CARNAHAN (DIRECTOR)
- **Authorized official phone:** (319) 825-6636

## Contact information

- **Practice address:** 606 E 1ST ST, GRUNDY CENTER, IA 50638
- **Practice address phone:** (319) 825-6636
- **Practice address fax:** (319) 825-4939
- **Mailing address:** 606 E 1ST ST, GRUNDY CENTER, IA 50638-2046
- **Mailing address phone:** (319) 825-6636
- **Mailing address fax:** (319) 825-4939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 12/29/2015