Healthcare Provider Details

I. General information

NPI: 1407801228
Provider Name (Legal Business Name): THERAPY SERVICES OF IOWA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 FOSTER DR
DES MOINES IA
50312-2520
US

IV. Provider business mailing address

760 FOSTER DR
DES MOINES IA
50312-2520
US

V. Phone/Fax

Practice location:
  • Phone: 515-237-3974
  • Fax: 515-883-2692
Mailing address:
  • Phone: 515-237-3974
  • Fax: 515-883-2692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateIA

VIII. Authorized Official

Name: RODNEY LEROY LAHODNY
Title or Position: PRESIDENT AND CEO
Credential: DPT
Phone: 515-282-4560