Provider Demographics
NPI:1831723626
Name:AERO PERFORMANCE AND PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:AERO PERFORMANCE AND PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCKENSTEDT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:319-930-2868
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-0053
Mailing Address - Country:US
Mailing Address - Phone:319-930-2868
Mailing Address - Fax:319-626-2669
Practice Address - Street 1:1295 JORDAN ST STE 3
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-8078
Practice Address - Country:US
Practice Address - Phone:319-930-2868
Practice Address - Fax:319-930-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy