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Contact Information

JASON J PUTZ, PT
1129 11TH ST SE
SUITE A
DYERSVILLE, IA52040
 Phone: 563-875-8615
 Fax: 563-875-8722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JASON J PUTZ · (Male)

NPI # 1114972775
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/23/2006
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 03051
  • IA Medicaid 1209163
  • IA Other 35223 BLUE SHIELD PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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