Individual
AUDREY HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC/L
Contact information
Practice address
487 COUNTRY HILL CIR NE APT 1, CEDAR RAPIDS, IA 52402-8304
(563) 543-5115
Mailing address
487 COUNTRY HILL CIR NE APT 1, CEDAR RAPIDS, IA 52402-8304
(563) 543-5115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
078011
IA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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