Organization
INTEGRATED THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TATE VAN HOUTEN (MEMBER)
(515) 288-0569
Entity
Organization
Contact information
Practice address
1515 LINDEN ST FL 1, DES MOINES, IA 50309-3120
(515) 288-0569
(515) 288-0347
Mailing address
1515 LINDEN ST FL 1, DES MOINES, IA 50309-3120
(515) 288-0569
(515) 288-0347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12345
IA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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