Organization
21ST CENTURY REHAB PC
Active
Parent organization
21ST CENTURY REHAB PC
Other names
Indianola Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
21ST CENTURY REHAB PC
Authorized official
MICHELLE R CASSABAUM (CFO)
(515) 382-3366
Entity
Organization
Contact information
Practice address
1507 N 1ST ST, INDIANOLA, IA 50125-3703
(515) 961-7435
(515) 961-7436
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665810
—
IA
01
—
36587
WELLMARK BCBS
IA
Enumeration date
06/10/2008
Last updated
02/27/2025
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