Individual
STEPHANIE BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
225 MAIN ST, KEOKUK, IA 52632-5837
(319) 524-4900
(319) 524-4895
Mailing address
225 MAIN ST, KEOKUK, IA 52632-5837
(319) 524-4900
(319) 524-4895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
073175
IA
Other
Enumeration date
08/20/2014
Last updated
02/06/2020
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