Individual
BLAKE ENGELHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
450 LAUREL ST., DES MOINES, IA 50314
(515) 323-6485
Mailing address
248 52ND ST., UNIT 94, WEST DES MOINES, IA 50265-2878
(641) 660-9044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
083012
IA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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