| Physical And Sports Services Pc | |
|
616 W Platt St, Maquoketa, IA 52060-2118 | |
| (563) 652-4364 | |
| Not Available |
| Full Name | Physical And Sports Services Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 616 W Platt St, Maquoketa, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447752142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 00769 (Iowa) | Primary |
| Provider Name | Bruce D Pauls |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922003359 PECOS PAC ID: 0547209595 Enrollment ID: I20050428000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical And Sports Services Pc 616 W Platt St, Maquoketa, IA 52060-2118 Ph: (563) 652-4364 | Physical And Sports Services Pc 616 W Platt St, Maquoketa, IA 52060-2118 Ph: (563) 652-4364 |
Sloan Elizabeth Dow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 W Grove St, Maquoketa, IA 52060 Phone: 563-652-4064 Fax: 563-652-4094 | |
Mr. Bruce Dale Pauls, PT,MS,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 616 W Platt St, Maquoketa, IA 52060 Phone: 563-652-4364 Fax: 563-652-6818 | |
Kelly Meyer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Hospital Dr, Maquoketa, IA 52060 Phone: 563-652-4064 |