Individual
PHILLIP MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5700 UNIVERSITY AVE STE 222, WEST DES MOINES, IA 50266-8276
(515) 221-1621
(515) 221-1626
Mailing address
850 43RD AVE, STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004576
IA
Other
Enumeration date
06/28/2010
Last updated
07/17/2017
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