Provider Demographics
NPI:1881297596
Name:HORST PHYSICAL THERAPY P C
Entity type:Organization
Organization Name:HORST PHYSICAL THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HORST
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:319-640-9645
Mailing Address - Street 1:PO BOX 306
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-0306
Mailing Address - Country:US
Mailing Address - Phone:319-640-9645
Mailing Address - Fax:
Practice Address - Street 1:303 1ST AVE STE 3
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1741
Practice Address - Country:US
Practice Address - Phone:319-640-9645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy