Healthcare Provider Details

I. General information

NPI: 1609029008
Provider Name (Legal Business Name): MONICA CHERIE METZGER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N ANKENY BLVD SUITE 200
ANKENY IA
50023-1730
US

IV. Provider business mailing address

301 N ANKENY BLVD SUITE 200
ANKENY IA
50023-1730
US

V. Phone/Fax

Practice location:
  • Phone: 515-965-1422
  • Fax: 515-965-1449
Mailing address:
  • Phone: 515-965-1422
  • Fax: 515-965-1449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004259
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: