Individual
CORTNEY RENAE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
32033 SKYRIDGE DR, WAUKEE, IA 50263-7511
(515) 681-4616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02953
IA
2251S0007X
Sports Physical Therapist
02953
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066500
—
IA
Enumeration date
05/04/2010
Last updated
11/16/2022
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