# ROSE REHAB AND PERFORMANCE, PLLC

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

## Provider details

- **NPI number:** 1962101097
- **Authorized official:** JOHN BRYCE ROSE DPT, PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (319) 325-8089

## Contact information

- **Practice address:** 123 BOULEVARD RD, KEOKUK, IA 52632-2318
- **Practice address phone:** (319) 325-8089
- **Mailing address:** 11 STONERIDGE DR, KEOKUK, IA 52632-2400
- **Mailing address phone:** (319) 325-8089

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 02/27/2023