Healthcare Provider Details

I. General information

NPI: 1164422499
Provider Name (Legal Business Name): CHILDREN'S THERAPY SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 OFFICE PARK RD SUITE 121
WEST DES MOINES IA
50265-2549
US

IV. Provider business mailing address

950 OFFICE PARK RD SUITE 121
WEST DES MOINES IA
50265-2549
US

V. Phone/Fax

Practice location:
  • Phone: 515-327-9222
  • Fax: 515-327-9111
Mailing address:
  • Phone: 515-327-9222
  • Fax: 515-327-9111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberN/A
License Number StateIA

VIII. Authorized Official

Name: BARBARA L NEBEL
Title or Position: OWNER
Credential: M.A. CCC-SLP
Phone: 515-327-9222