DR. SHANE NISSEN
Physical Therapist
Active
Individual
NPI: 1629316369
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 004889 (IA) |
Frequently Asked Questions
NPI 1629316369 is the National Provider Identifier for DR. SHANE NISSEN, a Physical Therapist provider located in Carroll, IA. This NPI was enumerated on January 30, 2013.
DR. SHANE NISSEN practices at 629 GRANADA RD, Carroll, IA 51401.
Quick Facts
- NPI
- 1629316369
- Type
- Individual
- Enumerated
- Jan 30, 2013
- Last Updated
- Jan 30, 2013
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