Organization
TEAM REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LINDSEY LANE MSPT PHYSICAL THERAP (COOWNER PHYSICAL THERAPIST)
(563) 382-4770
Entity
Organization
Contact information
Practice address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 382-4770
(563) 382-4785
Mailing address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 382-4770
(563) 382-4785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34706
BLUE CROSS BLUE SHEILD
IA
01
—
8B768TE
BLUE CROSS BLUE SHEILD
MN
01
—
F245962
MIDLANDS CHOICE
IA
01
—
TN0100
JOHN DEERE
IA
Enumeration date
07/26/2006
Last updated
08/22/2020
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