Provider Demographics
NPI:1386316735
Name:IOWA PHYSICAL THERAPY AND PERFORMANCE, PLC
Entity type:Organization
Organization Name:IOWA PHYSICAL THERAPY AND PERFORMANCE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:319-600-2436
Mailing Address - Street 1:909 8TH ST
Mailing Address - Street 2:
Mailing Address - City:KALONA
Mailing Address - State:IA
Mailing Address - Zip Code:52247-9491
Mailing Address - Country:US
Mailing Address - Phone:319-600-2436
Mailing Address - Fax:
Practice Address - Street 1:361 E 1ST ST STE 5
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:IA
Practice Address - Zip Code:52327-2500
Practice Address - Country:US
Practice Address - Phone:319-600-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty