Organization
PHYSICAL THERAPY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G POSS DPT (CO OWNER)
(712) 234-8760
Entity
Organization
Contact information
Practice address
915 PIERCE ST., SIOUX CITY, IA 51101-1031
(712) 234-8760
(712) 234-8765
Mailing address
PO BOX 1533, PHYSICAL THERAPY SPECIALISTS PC, SIOUX CITY, IA 51102-1533
(712) 234-8760
(712) 234-8765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IA
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214924
—
IA
05
—
214924
—
IA
01
—
CH1150
RR MEDICARE
IA
Enumeration date
06/23/2006
Last updated
09/18/2015
Update your record
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