Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxwell Jon Bodholdt, DPT

Individual provider Physical Therapist · NPI 1639904279

Maxwell Jon Bodholdt, DPT is a Physical Therapist in Ottumwa, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone: (641) 684-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 127542 (IA)

Record details

NPI number1639904279
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 4, 2024
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address4250 N Drinkwater Blvd Ste 100, Scottsdale, AZ 85251-3982

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