Individual
KATIE ANN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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
004352
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004352
IOWA PT LICENSE
IA
Enumeration date
02/18/2009
Last updated
11/18/2020
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