Provider Demographics
NPI:1700412848
Name:HOME TEAM WELLNESS AND RECOVERY, LLC
Entity Type:Organization
Organization Name:HOME TEAM WELLNESS AND RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:515-207-0172
Mailing Address - Street 1:3038 REDBUD CIR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-4518
Mailing Address - Country:US
Mailing Address - Phone:515-708-4940
Mailing Address - Fax:
Practice Address - Street 1:2721 STANGE RD STE 108
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3978
Practice Address - Country:US
Practice Address - Phone:515-207-0172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty