Provider Demographics
NPI:1437479953
Name:MITCHELL, CATHERINE M (DPT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:HRUSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:850 43RD AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-8401
Mailing Address - Country:US
Mailing Address - Phone:309-743-2070
Mailing Address - Fax:309-743-2073
Practice Address - Street 1:5700 UNIVERSITY AVE
Practice Address - Street 2:SUITE 222
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8224
Practice Address - Country:US
Practice Address - Phone:515-221-1621
Practice Address - Fax:515-221-1626
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004094225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA004094OtherIOWA PT LICENSE