Organization
RATHBUN LAKE AREA YOUNG MENS CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY GROFF (EXECUTIVE DIRECTOR)
(641) 437-1977
Entity
Organization
Contact information
Practice address
708 S MAIN ST, CENTERVILLE, IA 52544-2422
(641) 437-1977
(641) 437-1976
Mailing address
PO BOX 71602, CLIVE, IA 50325-0602
(515) 243-2057
(515) 244-5570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
05/31/2012
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