Organization
EMPOWERME ASL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
2210 AVENUE H, FORT MADISON, IA 52627-4003
(844) 502-7996
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
09/15/2025
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