Individual
MARC LEE VANDERVELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT CSCS
Contact information
Practice address
3200 WESTOWN PKWY, WEST DES MOINES, IA 50266-1110
(515) 276-1212
(515) 276-3194
Mailing address
3200 WESTOWN PKWY, WEST DES MOINES, IA 50266-1110
(515) 276-1212
(515) 276-3194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03548
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37197
IND
IA
01
—
37198
BCBS GR & MADRID
IA
01
—
39199
BCBS AH
IA
Enumeration date
05/03/2006
Last updated
08/07/2012
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