Individual
JACE MODRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7719
(515) 224-1414
(515) 224-5140
Mailing address
6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7719
(515) 224-1414
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
099040
IA
2255A2300X
Athletic Trainer
093267
IA
Other
Enumeration date
02/05/2020
Last updated
11/05/2024
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