| Millennium Therapy | |
|
2300 Swan Lake Blvd Suite 103 Independence IA 50644-9708 | |
| (319) 334-5155 | |
| (319) 334-6166 |
| Full Name | Millennium Therapy |
|---|---|
| Speciality | Physical Therapist |
| Location | 2300 Swan Lake Blvd, Independence, Iowa |
| Authorized Official Name and Position | Holly Little (COO) |
| Authorized Official Contact | 5153313190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Therapy 4725 Merle Hay Rd Ste 207 Des Moines IA 50322-1983 Ph: (515) 331-3190 | Millennium Therapy 2300 Swan Lake Blvd Suite 103 Independence IA 50644-9708 Ph: (319) 334-5155 |
| NPI Number | 1336193986 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Medicare PECOS PAC ID | 8022929926 |
|---|---|
| Medicare Enrollment ID | O20040409000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336193986 | NPI | - | NPPES |
| 0665802 | Medicaid | IA | |
| 66574 | Other | IA | WELLMARK BC/BS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 225100000X | Physical Therapist | () | Primary |
Buchanan County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 1st St E, Independence, IA 50644 Phone: 319-334-2541 |
Medical Associates of Independence Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 1st St E, Independence, IA 50644 Phone: 319-334-2541 Fax: 319-334-7054 |