Organization
MILLENNIUM REHAB & CONSULTING, INC.
Active
Other names
Millennium Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY LITTLE (COO)
(515) 331-3190
Entity
Organization
Contact information
Practice address
2300 SWAN LAKE BLVD, SUITE 103, INDEPENDENCE, IA 50644-9708
(319) 334-5155
(319) 334-6166
Mailing address
4725 MERLE HAY RD STE 207, DES MOINES, IA 50322-1983
(515) 331-3190
(515) 331-3191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665802
—
IA
01
—
66574
WELLMARK BC/BS GROUP #
IA
Enumeration date
05/19/2006
Last updated
05/28/2025
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