Teresa E Duncan, LPT
Individual provider Active NPI Physical Therapist · Waverly, IA
NPI 1194385039 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1194385039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 083195 (IA)
- Practice address
- 217 E Bremer Ave
Waverly, IA 50677-3435 - Phone
- (319) 352-4544
- Fax
- (319) 352-4655
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083195 | IA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 083195 | IA | Yes |
Addresses
Primary practice location
217 E Bremer Ave
Waverly, IA 50677-3435
Mailing address
217 E Bremer Ave
Waverly, IA 50677-3435
Phone (319) 352-4544
Other names
- Teresa E Nichols
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.