Organization
MATCH PLAY TENNIS CENTERS, INC.
Active
Other names
Rec Center Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA W FOX (MANAGER)
(319) 295-8899
Entity
Organization
Contact information
Practice address
400 COLLINS RD NE, BLDG 154-100, CEDAR RAPIDS, IA 52498-0001
(319) 295-8899
(319) 295-8833
Mailing address
400 COLLINS RD NE, BLDG 154-100, CEDAR RAPIDS, IA 52498-0001
(319) 295-8899
(319) 295-8833
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066154
USAMCO GROUP NUMBER
IA
01
—
37850
WELLMARK GROUP NUMBER
IA
01
—
5747352
FIRST HEALTH GROUP NUMBER
IA
01
—
F245873
MIDLANDS CHOICE ID NUMBER
IA
Enumeration date
12/04/2006
Last updated
09/27/2022
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