Provider Demographics
NPI:1215514021
Name:REMPP, BRITTANY LEE (PTA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:REMPP
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4933 160TH ST
Mailing Address - Street 2:
Mailing Address - City:MONTEZUMA
Mailing Address - State:IA
Mailing Address - Zip Code:50171-8552
Mailing Address - Country:US
Mailing Address - Phone:515-669-5460
Mailing Address - Fax:
Practice Address - Street 1:4933 160TH ST
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:IA
Practice Address - Zip Code:50171-8552
Practice Address - Country:US
Practice Address - Phone:515-669-5460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004873225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant