Provider Demographics
NPI:1134751928
Name:SKARSHAUG, KORA (PT, DPT)
Entity type:Individual
Prefix:
First Name:KORA
Middle Name:
Last Name:SKARSHAUG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KORA
Other - Middle Name:
Other - Last Name:SCOTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4700 MORTENSEN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-5580
Mailing Address - Country:US
Mailing Address - Phone:515-337-1037
Mailing Address - Fax:515-337-1039
Practice Address - Street 1:4700 MORTENSEN RD STE 101
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-5580
Practice Address - Country:US
Practice Address - Phone:515-337-1037
Practice Address - Fax:515-337-1039
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA099117225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist