Provider Demographics
NPI:1669161626
Name:WEBB, GREGORY SCOTT (PT)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:SCOTT
Last Name:WEBB
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-0024
Mailing Address - Country:US
Mailing Address - Phone:164-137-3715
Mailing Address - Fax:
Practice Address - Street 1:1409 N FREMONT ST
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-1319
Practice Address - Country:US
Practice Address - Phone:641-648-4671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01228225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist