NPI 1164419503

Paula J Jirak, PTA

Practitioner Physical Therapy Assistant West Des Moines, IA

Practice location

Address: 5950 University Ave STE 285, West Des Moines, IA 50266-8216
Phone: (515) 875-9706
Fax: (515) 875-9707
Mailing address: PO Box 4907, Des Moines, IA 50306-4907

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 00491 (IA)

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Registry record

NPI: 1164419503
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2005
Record last updated: 29 Aug 2012

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.