Individual
KENT LESLIE INGVALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
450 LAUREL ST STE B, DES MOINES, IA 50314-3045
(515) 323-6485
Mailing address
2901 GRAND AVE APT 306, DES MOINES, IA 50312-4289
(563) 419-3177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
087723
IA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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