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Individual

JOSHUA MICHAEL MENKE MOEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA, CLT

Contact information

Practice address
2205 GREEN HILLS DR, AMES, IA 50014-9101
(515) 357-5000
Mailing address
5881 MOONLIGHT WAY NE, PRIOR LAKE, MN 55372-1381

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
126983
IA
225200000X
Physical Therapy Assistant
A2062
MN

Other

Enumeration date
08/05/2024
Last updated
08/05/2024
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