Individual provider · Type 1 NPI

Coburn Shank, MSPT

Physical Therapist · Clive, IA

NPI number 1558478263 Active

Practice location

1601 NW 114th St Ste 347
Clive, IA 50325-7046

Fax (515) 222-7355

Mailing address

PO Box 674721
Dallas, TX 75267-4721

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X02418 (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 1558478263

Coburn Shank, MSPT's National Provider Identifier is 1558478263, issued on Aug 25, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Clive, IA. The record was last updated on Apr 9, 2026.