Organization
DES MOINES SPORTS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BRODERICK DPT (PHYSICAL THERAPIST)
(641) 417-9910
Entity
Organization
Contact information
Practice address
250 DELAWARE ST STE 120, NORWALK, IA 50211-8916
(641) 417-9910
Mailing address
5120 HARDING ST, PROLE, IA 50229-9182
(641) 417-9910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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