Deanna L Axtell, PTA
Individual provider Active NPI Physical Therapy Assistant · Davenport, IA
NPI 1730516485 · NPPES record last updated Sep 26, 2013
Key facts
- NPI
- 1730516485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 01017 (IA)
- Practice address
- 700 Waverly Rd
Davenport, IA 52804-4317 - Phone
- (563) 324-1651
- NPI assigned
- Sep 26, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01017 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 01017 | IA | Yes |
Addresses
Primary practice location
700 Waverly Rd
Davenport, IA 52804-4317
Mailing address
700 Waverly Rd
Davenport, IA 52804-4317
Phone (563) 324-1651
Other providers in Davenport, IA
- Jennifer H. Atzen
- Sarah Marie Austin
- Brandelyn Jo Avants
- Sunil Kumar Avvari
- Emma Awad
- Samantha Axtman
- Michella Azar
- Back 2 Action Physical Therapy LLC
- Jon Backstrom
- Amber Baele
All providers in Davenport, 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 Sep 26, 2013. 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.