NPI 1164854915

Deidra Blin Anderson, DPT

Practitioner Physical Therapist Clive, IA

Practice location

Address: 12493 University Ave, Clive, IA 50325-8286
Phone: (515) 645-3350
Fax: (515) 224-2907
Mailing address: PO Box 71602, Clive, IA 50325-0602

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 005180 (IA)

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Registry record

NPI: 1164854915
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2013
Record last updated: 4 Aug 2013

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.