Organization
A STEP AHEAD THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALECA BARTLING (BILLING MANAGER)
(319) 234-3736
Entity
Organization
Contact information
Practice address
3606 KIMBALL AVE, WATERLOO, IA 50702-5731
(319) 234-3736
(319) 234-0401
Mailing address
3606 KIMBALL AVE, WATERLOO, IA 50702-5731
(319) 234-3736
(319) 234-0401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02547
IA
174400000X
Specialist
03011
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415612
—
IA
05
—
0415620
—
IA
05
—
0415638
—
IA
01
—
35402
WELLMARK OF IOWA
IA
01
—
35403
WELLMARK INDIVIDUAL NUMBE
IA
01
—
35404
WELLMARK INDIVIDUAL NUMBE
IA
Enumeration date
04/05/2006
Last updated
08/22/2020
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