Jeffrey Buchanan
Individual provider Active NPI Physical Therapy Assistant · Des Moines, IA
NPI 1386181774 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1386181774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 004961 (IA)
- Practice address
- 1200 Pleasant St
Des Moines, IA 50309-1406 - Phone
- (515) 241-4498
- NPI assigned
- Jan 24, 2017
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 004961 | IA | Yes |
Addresses
Primary practice location
1200 Pleasant St
Des Moines, IA 50309-1406
Mailing address
1200 Pleasant St
Des Moines, IA 50309-1406
Other providers in Des Moines, IA
- Ginelle Bryant
- Lisa Marie Bryant
- Edward James Bryja
- Bryon Little Therapy PLLC
- Alissa Lynn Bubon
- Bruce Lewis Buchsbaum
- Ashton Lenee Buck
- Mitzi Buck
- Cindy Buckalew
- Allison Lee Buckert
All providers in Des Moines, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. 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.