Organization
MILLENNIUM THERAPY AND CONSULTING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J HENTZEN MBA, PT (CEO, PT)
(515) 331-3190
Entity
Organization
Contact information
Practice address
4725 MERLE HAY RD STE 107, DES MOINES, IA 50322-1983
(515) 331-3190
Mailing address
4725 MERLE HAY RD STE 107, DES MOINES, IA 50322-1983
(515) 331-3190
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004072
IA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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