Healthcare Provider Details

I. General information

NPI: 1023996592
Provider Name (Legal Business Name): IMARA PERFORMANCE PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 COUNTY LINE RD
CUMMING IA
50061-5826
US

IV. Provider business mailing address

8800 COUNTY LINE RD
CUMMING IA
50061-5826
US

V. Phone/Fax

Practice location:
  • Phone: 515-612-6420
  • Fax:
Mailing address:
  • Phone: 515-298-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DANNA KELLY HERRICK
Title or Position: OWNER/FOUNDER
Credential: PT, DPT
Phone: 515-298-1522