Individual provider · Type 1 NPI

Jessica Sage Boldenow

Physical Therapist · Council Bluffs, IA

NPI number 1558287656 Active

Practice location

3134 Manawa Centre Dr
Council Bluffs, IA 51501-7690

Call (712) 308-8038 Map

Fax (712) 524-1055

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XCP059115T (IA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1558287656

Jessica Sage Boldenow's National Provider Identifier is 1558287656, issued on Jun 24, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Council Bluffs, IA. The record was last updated on Jun 26, 2026.