Organization
REV HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN J DOMEYER PT, DPT, CMPT (OWNER, PHYSICAL THERAPIST)
(563) 543-1234
Entity
Organization
Contact information
Practice address
10619 AURORA AVE, URBANDALE, IA 50322-7927
(515) 207-5002
Mailing address
630 DAYBREAK DR, WAUKEE, IA 50263-8162
(563) 543-1234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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