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

Mrs. Myrna Rae Van de Walle, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1083760755

Mrs. Myrna Rae Van de Walle, PHYSICALTHERAPIST is a Physical Therapist in Clear Lake, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2007
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Practice location Address checks out

9184 265th St Ste B
Clear Lake, IA 50428-8507
Phone: (641) 357-6112
Fax: (641) 357-3686
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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 00694 (IA)

Record details

NPI number1083760755
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJuly 8, 2007

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