Healthcare Provider Details

I. General information

NPI: 1447797113
Provider Name (Legal Business Name): YOUNKER REHABILITATION THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 S ANKENY BLVD BLDG 5
ANKENY IA
50023-8995
US

IV. Provider business mailing address

1200 PLEASANT ST
DES MOINES IA
50309-1406
US

V. Phone/Fax

Practice location:
  • Phone: 515-289-9541
  • Fax: 515-446-3642
Mailing address:
  • Phone: 515-241-6228
  • Fax: 515-241-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH F. CORFITS
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CFO
Phone: 5155152416507