MEDICARE: DR. HANNAH MARIE LOSEY PT, DPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	005221	IA

General Provider Information

NPI Number	:	1942632914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH MARIE LOSEY PT, DPT, ATC

Provider Business Mailing Address
First Line	:	25332 ROUTE W40
Second Line	:
City	:	BONAPARTE
State	:	IA
Zip	:	52620-8191
Country	:	US
Telephone Number	:	319-470-7207
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 S MAIN ST
Second Line	:
City	:	FAIRFIELD
State	:	IA
Zip	:	52556-9572
Country	:	US
Telephone Number	:	641-469-4353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	10/25/2023

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