| Mindy Sullivan-lo, DPT | |
|
818 Se Alices Rd, Waukee, IA 50263-9610 | |
| (515) 216-2999 | |
| Not Available |
| Full Name | Mindy Sullivan-lo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 818 Se Alices Rd, Waukee, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255852257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 087868 (Iowa) | Primary |
| Provider Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Provider Name | Younker Rehabilitation Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447797113 PECOS PAC ID: 2062799810 Enrollment ID: O20170503001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy Sullivan-lo, DPT 170 Corene Ave, Waukee, IA 50263-9791 Ph: () - | Mindy Sullivan-lo, DPT 818 Se Alices Rd, Waukee, IA 50263-9610 Ph: (515) 216-2999 |
Mrs. Rebecca Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Thomas Larsson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 Ne Dartmoor Dr, Waukee, IA 50263 Phone: 515-987-6267 | |
Laura Renee Walter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465 Fax: 515-987-0929 | |
Dr. Kelsey Marie Ziemann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Kristie A Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 E Hickman Rd, Waukee, IA 50263 Phone: 515-216-2999 Fax: 515-216-2990 | |
Kyle Dalen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Laura Imming Hanson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465 |