Healthcare Provider Details

I. General information

NPI: 1871049890
Provider Name (Legal Business Name): SARAH GERICKE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 E MAIN ST
CENTRAL CITY IA
52214-7736
US

IV. Provider business mailing address

453 E MAIN ST
CENTRAL CITY IA
52214-7736
US

V. Phone/Fax

Practice location:
  • Phone: 319-438-3110
  • Fax: 319-326-0214
Mailing address:
  • Phone: 319-438-3110
  • Fax: 319-326-0214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number081135
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: