Provider Demographics
NPI:1518101880
Name:ADVANCED PHYSICAL THERAPY FOR WOMEN, LLC
Entity Type:Organization
Organization Name:ADVANCED PHYSICAL THERAPY FOR WOMEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HYTREK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-898-6360
Mailing Address - Street 1:PO BOX 1056
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51102-1056
Mailing Address - Country:US
Mailing Address - Phone:712-898-6360
Mailing Address - Fax:
Practice Address - Street 1:1000 JACKSON ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51105-1431
Practice Address - Country:US
Practice Address - Phone:712-898-6360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02850261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy