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Organization

LYMPHATIC CARE AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANIE DASRATH OTD, OTR/L, LMT, CLT (OCCUPATIONAL & MASSAGE THERAPIST)
(515) 257-6572
Entity
Organization

Contact information

Practice address
1108 SW 11TH LN, ANKENY, IA 50023-1766
(515) 257-6572
Mailing address
1108 SW 11TH LN, ANKENY, IA 50023-1766
(515) 257-6572

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
06/11/2022
Last updated
03/19/2026
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