Healthcare Provider Details

I. General information

NPI: 1689597882
Provider Name (Legal Business Name): CLAIRE HEMRY PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 MORTENSEN RD STE 101
AMES IA
50014-6228
US

IV. Provider business mailing address

4611 MORTENSEN RD STE 101
AMES IA
50014-6228
US

V. Phone/Fax

Practice location:
  • Phone: 515-207-3355
  • Fax: 515-462-0905
Mailing address:
  • Phone: 515-207-3355
  • Fax: 515-462-0905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number137059
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: