Robin Beery

Individual provider Active NPI Physical Therapy Assistant · Council Bluffs, IA

NPI 1689877474 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1689877474
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
00691 (IA)
Practice address
1600 McPherson Ave
Council Bluffs, IA 51503-4858
Phone
(615) 896-6400
NPI assigned
Jun 7, 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

LicenseStateTypeSpecialty
00691IAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 00691 IA Yes

Addresses

Primary practice location

1600 McPherson Ave
Council Bluffs, IA 51503-4858

Mailing address

305 E 6TH St
Malvern, IA 51551-8020
Phone (712) 684-3992

Other providers in Council Bluffs, IA

All providers in Council Bluffs, IA · Physical Therapy Assistant in Iowa

Sources for this page

Verify at the official NPI Registry.