NPI 1043096324

Louis Robert Broadhurst

Practitioner Physical Therapy Assistant Donnellson, IA

Practice location

Address: 620 Park St, Donnellson, IA 52625-9628
Phone: (319) 795-6495

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1043096324
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2023
Record last updated: 4 Sep 2023

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.