Organization
IMPACT PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN ROED PT, DPT, CMPT (PHYSICAL THERAPIST/OWNER)
(712) 560-0460
Entity
Organization
Contact information
Practice address
4295 SERGEANT RD, SIOUX CITY, IA 51106
(515) 664-2149
Mailing address
4295 SERGEANT RD, SIOUX CITY, IA 51106-4625
(712) 560-0460
(712) 560-0460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004816
IA
Other
Enumeration date
04/12/2018
Last updated
06/21/2018
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