Individual
MRS. KATRINA BLAINE MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5900 NW 86TH ST, SUITE 200, JOHNSTON, IA 50131-2284
(515) 278-8151
(515) 278-8155
Mailing address
15910 TANGLEWOOD DR, URBANDALE, IA 50323-2282
(515) 278-8151
(515) 276-3194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04015
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
Enumeration date
03/22/2007
Last updated
06/21/2011
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