Individual
COLLEEN F LOUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
618 BROAD ST, SUITE B, STORY CITY, IA 50248-1255
(515) 965-5311
(515) 965-5301
Mailing address
309 N ANKENY BLVD STE 102, ANKENY, IA 50023-1750
(515) 965-5311
(515) 965-5301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
108636
MO
225100000X
Physical Therapist
Primary
4383
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36699014
BCBS PROVIDER #
MO
Enumeration date
08/13/2006
Last updated
11/12/2010
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