Provider Demographics
NPI:1699280495
Name:RINDFLEISCH, ANDREA (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:RINDFLEISCH
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:SCHLETZBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4544 220TH AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:IA
Mailing Address - Zip Code:50118-8044
Mailing Address - Country:US
Mailing Address - Phone:515-975-9079
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5753
Practice Address - Country:US
Practice Address - Phone:515-699-5999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA078247225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist