Organization · Type 2 NPI

Stadia Sports Medicine PC

Sports Medicine (Neuromusculoskeletal Medicine) Physician · West Des Moines, IA

NPI number 1962453274 Active

Practice location

7601 Office Plaza Dr N Ste 140
West Des Moines, IA 50266-1207

Fax (515) 221-1272

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary 204C00000X36501 (IA)
Physical Therapist 225100000XNone listed

Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…

Another provider at this address

About NPI 1962453274

Stadia Sports Medicine PC's National Provider Identifier is 1962453274, issued on May 12, 2006. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in West Des Moines, IA. The record was last updated on Jul 10, 2026.