Organization
SIOUX CITY PHYSICAL THERAPY PC
Active
Other names
Sioux City Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LEO VENNE P.T. (OWNER)
(712) 266-0707
Entity
Organization
Contact information
Practice address
2802 CASTLES GATE DR, SIOUX CITY, IA 51106-7203
(712) 266-0707
(712) 266-0709
Mailing address
2802 CASTLES GATE DR, SIOUX CITY, IA 51106-7203
(712) 266-0707
(712) 266-0709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488767
—
IA
01
—
36936
BCBS GROUP NUMBER
IA
Enumeration date
11/15/2006
Last updated
05/10/2023
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