Individual
KENYON MICHAEL DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1705 S 1ST AVE, SUITE C, IOWA CITY, IA 52240-6006
(319) 337-8818
(319) 337-8308
Mailing address
230 LOCKMOOR AVE., NORTH LIBERTY, IA 52317
(319) 665-2442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03042
IA
Other
Enumeration date
07/19/2006
Last updated
06/24/2009
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