Individual
STEW SIERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1204 LINDEN ST, DALLAS CENTER, IA 50063-1052
(515) 992-3735
Mailing address
6216 WILLOW CREST DR APT 202, JOHNSTON, IA 50131-2136
(712) 260-4820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
096727
IA
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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