Individual
MAKAYLA MILLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SALE BARN RD STE 3, STORM LAKE, IA 50588-7341
(712) 213-1500
(712) 213-1502
Mailing address
111 SALE BARN RD STE 3, STORM LAKE, IA 50588-7341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
073605
IA
Other
Enumeration date
09/29/2015
Last updated
11/04/2015
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