Provider Demographics
NPI:1982371753
Name:CHIP PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:CHIP PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:641-224-2190
Mailing Address - Street 1:119 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SIGOURNEY
Mailing Address - State:IA
Mailing Address - Zip Code:52591-1541
Mailing Address - Country:US
Mailing Address - Phone:641-224-2190
Mailing Address - Fax:641-632-2118
Practice Address - Street 1:119 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SIGOURNEY
Practice Address - State:IA
Practice Address - Zip Code:52591-1541
Practice Address - Country:US
Practice Address - Phone:641-224-2190
Practice Address - Fax:641-632-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty