Provider Demographics
NPI:1609107978
Name:FRANCK, CARLA CATHERINE (DPT)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:CATHERINE
Last Name:FRANCK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 COLLINS RD NE # MS 154100
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52498-0505
Mailing Address - Country:US
Mailing Address - Phone:319-295-8899
Mailing Address - Fax:
Practice Address - Street 1:400 COLLINS RD NE # MS 154100
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52498-0505
Practice Address - Country:US
Practice Address - Phone:319-295-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3143225100000X
IA004515225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA004515OtherPHYSICAL THERAPY LICENSE NUMBER
SD1718OtherPHYSICAL THERAPY LICENSE NUMBER
TX1238953OtherPHYSICAL THERAPY LICENSE NUMBER
NE3143OtherPHYSICAL THERAPY LICENSE NUMBER
IL070.020708OtherPHYSICAL THERAPY LICENSE NUMBER