Organization
ON WITH LIFE, INC.
Active
Parent organization
ON WITH LIFE, INC.
Other names
On With Life Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
ON WITH LIFE, INC.
Authorized official
CYNTHIA A EWALD (OFFICE MANAGER)
(515) 289-9658
Entity
Organization
Contact information
Practice address
675 SW ANKENY RD, ANKENY, IA 50023
(515) 965-1339
(515) 965-1186
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
(515) 965-1186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
225A00000X
Music Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043375769
—
IA
Enumeration date
11/03/2010
Last updated
06/21/2018
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