Organization
PROFESSIONAL PHYSICAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS LEE KRUTSINGER P.T.A. (CHIEF EXECUTIVE OFFICER)
(641) 342-1470
Entity
Organization
Contact information
Practice address
123 E JEFFERSON ST, OSCEOLA, IA 50213-1202
(641) 342-1470
(641) 342-1219
Mailing address
PO BOX 238, OSCEOLA, IA 50213-0238
(641) 342-1470
(641) 342-1219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00705
IA
225100000X
Physical Therapist
03688
IA
225200000X
Physical Therapy Assistant
000103
IA
225200000X
Physical Therapy Assistant
Primary
00581
IA
Other
Enumeration date
05/16/2007
Last updated
08/20/2015
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