Individual
TIMOTHY JAMES NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2844 104TH ST, URBANDALE, IA 50322-3813
(515) 276-1111
(515) 864-0391
Mailing address
2844 104TH ST, URBANDALE, IA 50322-3813
(515) 276-1111
(515) 864-0391
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
115918
IA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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