Donna J Besick

Individual provider Active NPI Physical Therapy Assistant · Fairfield, IA

NPI 1275964686 · NPPES record last updated Dec 11, 2013

Key facts

NPI
1275964686
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
00736 (IA)
Practice address
2000 S. Main St.
Fairfield, IA 52556
Phone
(641) 469-4353
Fax
(641) 469-4288
NPI assigned
Dec 11, 2013
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

LicenseStateTypeSpecialty
00736IAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 00736 IA Yes

Addresses

Primary practice location

2000 S. Main St.
Fairfield, IA 52556

Mailing address

PO Box 128
Keosauqua, IA 52565-0128
Phone (319) 293-8250

Other providers in Fairfield, IA

All providers in Fairfield, IA · Physical Therapy Assistant in Iowa

Sources for this page

Verify at the official NPI Registry.