MEDICARE: CHRISTINE M FELTMAN PHYSICAL THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2316	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33075	OTHER	IA	WELLMARK OF IOWA

General Provider Information

NPI Number	:	1235277088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE M FELTMAN PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	215 S MAPLE ST
Second Line	:	P.O. BOX 318
City	:	PAULLINA
State	:	IA
Zip	:	51046-1019
Country	:	US
Telephone Number	:	712-732-7725
Fax Number	:	712-732-5153

Provider Business Practice Location Address
First Line	:	315 W 5TH ST
Second Line	:
City	:	STORM LAKE
State	:	IA
Zip	:	50588-1743
Country	:	US
Telephone Number	:	712-732-7725
Fax Number	:	712-732-5153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

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