Whalio Doctors

NPI 1013158682

Jodi Lynn Dorage, PTA

Practitioner Physical Therapy Assistant Manson, IA

Practice location

Address
1402 Main St, Manson, IA 50563-5160
Phone
(712) 469-3908
Mailing address
847 14th Ave PO Box 804, Manson, IA 50563-7729

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 00126 (IA)

Registry record

NPI
1013158682
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Mar 2009
Record last updated
11 Mar 2009

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.