Provider Demographics
NPI:1720452048
Name:PULS, ADAM
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:PULS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 NW 100TH ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-6702
Mailing Address - Country:US
Mailing Address - Phone:515-276-1212
Mailing Address - Fax:515-276-3194
Practice Address - Street 1:1300 NW 100TH ST STE 1000
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-6702
Practice Address - Country:US
Practice Address - Phone:515-276-1212
Practice Address - Fax:515-276-3194
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist