Organization
SPORTSPLUS SPORTS MEDICINE AND PHYSICAL THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GONZALEZ (BUSINESS OFFICE MANAGER)
(641) 753-6636
Entity
Organization
Contact information
Practice address
32 E MAIN ST, MARSHALLTOWN, IA 50158-4903
(641) 753-6636
(641) 753-1005
Mailing address
32 E MAIN ST, MARSHALLTOWN, IA 50158-4903
(641) 753-6636
(641) 753-1005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257121
—
IA
01
—
49081
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/25/2006
Last updated
12/05/2018
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