Individual
JADE A BAXELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 SCOTT BLVD., STE. 1, IOWA CITY, IA 52240
(319) 354-2429
(319) 354-6100
Mailing address
1130 S SCOTT BLVD STE 1, IOWA CITY, IA 52240-2909
(319) 354-2429
(319) 354-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
098496
IA
225100000X
Physical Therapist
2974
MN
225100000X
Physical Therapist
9306
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-65463
—
IA
Enumeration date
05/31/2013
Last updated
07/07/2022
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