NPI 1881261519
Rev Health and Wellness PLLC
Practice location
- Address
- 10619 Aurora Ave, Urbandale, IA 50322-7927
- Phone
- (515) 207-5002
- Mailing address
- 630 Daybreak Dr, Waukee, IA 50263-8162
Authorised official
- Name
- Ryan J Domeyer
- Title
- Owner, Physical Therapist
- Phone
- (563) 543-1234
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1881261519
- Entity type
- Organization
- NPI issued
- 10 Jun 2021
- Record last updated
- 10 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.