Vicky Carlson
Individual provider Active NPI Physical Therapy Assistant · Onawa, IA
NPI 1396948741 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1396948741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 585 (IA)
- Practice address
- 222 15TH St
Onawa, IA 51040-1025 - Phone
- (615) 896-6400
- NPI assigned
- Jun 5, 2007
- 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 |
|---|---|---|---|
| 585 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 585 | IA | Yes |
Addresses
Primary practice location
222 15TH St
Onawa, IA 51040-1025
Mailing address
3247 Grandview Blvd
Sioux City, IA 51104-2525
Phone (712) 255-3039
Other providers in Onawa, IA
- Burgess Health Center
- Burgess Health Center
- Burgess Health Center
- Burgess Health Center
- Burgess Health Center
- Joyce Ruth Cornwell
- County of Monona
- County of Monona
- Peter M. Daher
- William Ray Darrah
All providers in Onawa, 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 Jul 8, 2007. 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.