Healthcare Provider Details

I. General information

NPI: 1700791027
Provider Name (Legal Business Name): ANNA VOIGT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4456 128TH ST
URBANDALE IA
50323-1728
US

IV. Provider business mailing address

4456 128TH ST
URBANDALE IA
50323-1728
US

V. Phone/Fax

Practice location:
  • Phone: 515-276-4344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number137788
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: