Provider Demographics
NPI:1386985364
Name:EURO TEAM PHYSICAL THERAPY CLINIC,PC
Entity type:Organization
Organization Name:EURO TEAM PHYSICAL THERAPY CLINIC,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MPT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:BC
Authorized Official - Last Name:KRIEG
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:563-277-1059
Mailing Address - Street 1:2345 172ND AVE # 1
Mailing Address - Street 2:
Mailing Address - City:DECORAH
Mailing Address - State:IA
Mailing Address - Zip Code:52101-7584
Mailing Address - Country:US
Mailing Address - Phone:563-277-1059
Mailing Address - Fax:563-277-1022
Practice Address - Street 1:2345 172ND AVE # 1
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-7584
Practice Address - Country:US
Practice Address - Phone:563-277-1059
Practice Address - Fax:563-277-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01840261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy