Individual
JASON ENGELKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS, ATC/L
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 387-3031
(563) 382-1582
Mailing address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 387-3031
(563) 382-1582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
078557
IA
2251S0007X
Sports Physical Therapist
54024
IA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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