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NPI Code Detail

MEDICARE: TROY ALLEN LOECKLE PT, RVT, RCP

MEDICARE: TROY ALLEN LOECKLE PT, RVT, RCP
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
1225100000XPhysical Therapist02444IA

General Provider Information

NPI Number : 1811966724
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY ALLEN LOECKLE PT, RVT, RCP
Provider Business Mailing Address
First Line : 2536 155TH ST
Second Line :
City : FLOYD
State : IA
Zip : 50435-8011
Country : US
Telephone Number : 641-398-3003
Fax Number :
Provider Business Practice Location Address
First Line : 800 11TH ST
Second Line :
City : CHARLES CITY
State : IA
Zip : 50616-3468
Country : US
Telephone Number : 641-228-6344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

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Directions to “ TROY ALLEN LOECKLE PT, RVT, RCP” Practice Location

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