Provider Demographics
NPI:1770348674
Name:WHOLEHEARTED AND HEALTHY PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:WHOLEHEARTED AND HEALTHY PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:712-221-9576
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:IA
Mailing Address - Zip Code:50548-0576
Mailing Address - Country:US
Mailing Address - Phone:712-221-9576
Mailing Address - Fax:
Practice Address - Street 1:113 E 2ND ST
Practice Address - Street 2:
Practice Address - City:HOLSTEIN
Practice Address - State:IA
Practice Address - Zip Code:51025-7704
Practice Address - Country:US
Practice Address - Phone:712-221-9576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy