MEDICARE: RIVERWALK HEALTH SERVICES INC.

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1891127148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERWALK HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	PO BOX 327
Second Line	:
City	:	BUFFALO
State	:	IA
Zip	:	52728-0327
Country	:	US
Telephone Number	:	563-594-9402
Fax Number	:	563-265-8884

Provider Business Practice Location Address
First Line	:	1134 FRONT ST
Second Line	:	SUITE 400
City	:	BUFFALO
State	:	IA
Zip	:	52728-0327
Country	:	US
Telephone Number	:	563-594-9402
Fax Number	:	563-265-8884

Authorized Official
Title or Position	:	OWNER
Name	:	DOUGLAS A DITTMAR
Credential	:
Telephone Number	:	563-594-9402

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	08/08/2013

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Directions to “RIVERWALK HEALTH SERVICES INC. ” Practice Location

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