Healthcare Provider Details

I. General information

NPI: 1992610034
Provider Name (Legal Business Name): EMILY NIEWOEHNER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5307 CARAWAY LN
CEDAR FALLS IA
50613-8172
US

IV. Provider business mailing address

5307 CARAWAY LN
CEDAR FALLS IA
50613-8172
US

V. Phone/Fax

Practice location:
  • Phone: 319-277-2141
  • Fax:
Mailing address:
  • Phone: 319-277-2141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004911
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: