Organization
ONE TO ONE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL M. SMITH M.S.P.T. (PRESIDENT AND CEO)
(515) 275-4003
Entity
Organization
Contact information
Practice address
758 216TH DR, OGDEN, IA 50212-7520
(515) 275-4003
(515) 275-4122
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453407
—
IA
01
—
DD0340
RAILROAD MEDICARE
IA
Enumeration date
05/19/2006
Last updated
03/23/2011
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