# NURTURED SOUL PHYISCAL THERAPY & WELLNESS LLC

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

## Provider details

- **NPI number:** 1821835505
- **Authorized official:** STEPHANIE JO MCCOLLOCH DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (515) 770-4901

## Contact information

- **Practice address:** 1016 MAIN ST, NORWALK, IA 50211-1327
- **Practice address phone:** (515) 770-4901
- **Mailing address:** 6287 GEAR ST, PROLE, IA 50229-9180

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2024
- **Last updated:** 07/10/2024