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General NPI Number Information
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NPI Number | 1023996592
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Entity Type | Organization
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Legal Business Name | IMARA PERFORMANCE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 08/23/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 8800 COUNTY LINE RD
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City | CUMMING
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State | IA
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Zip | 50061-5826
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Country | US
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Telephone | 515-612-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 8800 COUNTY LINE RD
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City | CUMMING
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State | IA
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Zip | 50061-5826
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Country | US
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Telephone | 515-298-1522
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | DR. DANNA KELLY HERRICK
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Credential | PT, DPT
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Telephone | 515-298-1522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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