Organization
ABSOLUTE PERFORMANCE THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA LEANNE SUBBERT PT (PRES OF PC)
(515) 987-6267
Entity
Organization
Contact information
Practice address
225 EAST HICKMAN ROAD, WAUKEE, IA 50263-9616
(515) 987-6267
(515) 987-6269
Mailing address
225 EAST HICKMAN ROAD, WAUKEE, IA 50263-9616
(515) 987-6267
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
02888
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
(0)449579
—
IA
Enumeration date
11/24/2006
Last updated
11/18/2019
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