Kristi Lynn Vander Veen PTA

NPI 1194940064 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1194940064
Gender Female
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
147 S MAIN AVE
SIOUX CENTER IA, 51250-1535, US
Phone (712) 722-1902
Fax
Business Location
3878 370TH ST
ORANGE CITY IA, 51041-7549, US
Phone (712) 737-8323
Fax
Toxanomy
Taxonomy Code 225200000X
License State Iowa
License Number 00641
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According to our database, Mrs. Kristi Lynn Vander Veen PTA NPI is 1194940064, taxonomy code is 225200000X and license number is 00641, license state is located at Iowa. Kristi Lynn Vander Veen PTA physically located at 147 S Main Ave, Sioux Center IA, 51250-1535. NPI Number Kristi Lynn Vander Veen PTA has the Individual type.

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1194940064 NPI number is provided on an as is basis without warranty of any kind. 1194940064 is maintained by the National Plan & Provider Enumeration System. The contents of Kristi Lynn Vander Veen PTA are for informational purposes only.