Healthcare Provider Details

I. General information

NPI: 1295643088
Provider Name (Legal Business Name): WAPSI PHYSICAL THERAPY 2 PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E MAIN ST
ANAMOSA IA
52205-1807
US

IV. Provider business mailing address

315 E MAIN ST
ANAMOSA IA
52205-1807
US

V. Phone/Fax

Practice location:
  • Phone: 319-462-6882
  • Fax: 319-462-4167
Mailing address:
  • Phone: 319-462-6882
  • Fax: 319-462-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSIAH ERTZ
Title or Position: OWNER
Credential: PT, DPT
Phone: 319-462-6882