Individual
KIM MAJERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
501 N ELK RUN RD, WATERLOO, IA 50703-9471
(800) 974-4378
(630) 515-1536
Mailing address
2547 PLAINFIELD NAPERVILLE RD, STE 152, NAPERVILLE, IL 60564-8909
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1156
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156
STATE LICENSE
IA
Enumeration date
07/17/2015
Last updated
07/17/2015
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