Provider Demographics
NPI:1720801236
Name:STRIDE PT & WELLNESS PLLC
Entity type:Organization
Organization Name:STRIDE PT & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:319-214-0005
Mailing Address - Street 1:1675 TIMBER WOLF DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-8040
Mailing Address - Country:US
Mailing Address - Phone:319-214-0005
Mailing Address - Fax:
Practice Address - Street 1:1675 TIMBER WOLF DR
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-8040
Practice Address - Country:US
Practice Address - Phone:319-214-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty