Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MYRNA RAE VAN DE WALLE, PHYSICAL THERAPIST
Active Sole ProprietorMRS. MYRNA RAE VAN DE WALLE, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in CLEAR LAKE, Iowa. NPI 1083760755 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CLEAR LAKE, IA
Registration Details
- NPI Number
- 1083760755
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.508104653676 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00694 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9184 265TH STSUITE BCLEAR LAKE, IA, 504288507Browse IA providers · Browse ZIP 50428
- Phone
- 6413576112
- Fax
- 6413573686
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CLEAR LAKE, IA
| Name | Credential | NPI |
|---|---|---|
| RONALD GERALD MARTINEK | P.T. | 1386662781 |
| DUANE A HERMEN | PT | 1700070661 |
| CHRISTOPHER FISCHER | — | 1427439892 |
| JOSHUA D HILDEBRAND | DPT | 1659800159 |
| LIBBY HENNESSY | — | 1972060713 |
| ROBIN SUE MULVEY | DPT | 1205495769 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.