Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 082783 | IA |
Y | 225100000X | Physical Therapist | 082783 | IA |
NPI | 1043739279 |
---|---|
Provider Name | Paige Erin Caves |
First Address | Des Moines, IA 50305-1475 |
Second Address | Ottumwa, IA 52501-4231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2017 |
Last Update Date | 17/03/2018 |