Healthcare Provider Details

I. General information

NPI: 1033014378
Provider Name (Legal Business Name): PRESENT PATH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N MAIN ST STE 6
BURLINGTON IA
52601-5012
US

IV. Provider business mailing address

600 N MAIN ST STE 6
BURLINGTON IA
52601-5012
US

V. Phone/Fax

Practice location:
  • Phone: 319-264-1236
  • Fax: 319-208-3093
Mailing address:
  • Phone: 319-264-1236
  • Fax: 319-208-3093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER SHOOK
Title or Position: OWNER
Credential: LISW
Phone: 319-264-1236