Individual
JESSICA KATHLEEN GUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1601 NW 114TH STREET, SUITE 155, CLIVE, IA 50325-7046
(515) 222-7350
(515) 222-7355
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7350
(515) 222-7355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004074
IA
Other
Enumeration date
08/06/2007
Last updated
09/11/2014
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