Organization
LTR, LLC
Active
Other names
Luke Carlson Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TATE VANHOUTEN DPT (OWNER)
(515) 288-0569
Entity
Organization
Contact information
Practice address
110 N ANKENY BLVD STE 100, ANKENY, IA 50023-1756
(515) 964-9100
(515) 964-2700
Mailing address
110 N ANKENY BLVD STE 100, ANKENY, IA 50023-1756
(515) 964-9100
(515) 964-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
11/18/2020
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