Healthcare Provider Details

I. General information

NPI: 1801702766
Provider Name (Legal Business Name): NOAH URWILER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 PARK CIR
COUNCIL BLUFFS IA
51503-1446
US

IV. Provider business mailing address

13 PARK CIR
COUNCIL BLUFFS IA
51503-1446
US

V. Phone/Fax

Practice location:
  • Phone: 402-417-9837
  • Fax:
Mailing address:
  • Phone: 402-417-9837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number5010
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: