Provider Demographics
NPI:1477346021
Name:FRANKEN, JAXON JOHN (PT, DPT)
Entity type:Individual
Prefix:
First Name:JAXON
Middle Name:JOHN
Last Name:FRANKEN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINS
Mailing Address - State:IA
Mailing Address - Zip Code:50055-7721
Mailing Address - Country:US
Mailing Address - Phone:712-661-8117
Mailing Address - Fax:
Practice Address - Street 1:55 UNITYPOINT WAY
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4749
Practice Address - Country:US
Practice Address - Phone:641-754-6120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA132158225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist