Individual
MEMORY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
817 MAIN ST, ADEL, IA 50003-1478
(515) 993-2170
(515) 993-2174
Mailing address
817 MAIN ST, ADEL, IA 50003-1478
(515) 993-2170
(515) 993-2174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3575
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
Enumeration date
10/25/2006
Last updated
08/20/2025
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