SAMUEL NISSLY

Physical Therapist

Active Individual
NPI: 1700620051

Practice Address

241 SE DESTINATION DR STE 200
Grimes, IA 50111

Phone: (515) 986-5190

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 126470 (IA)

Frequently Asked Questions

NPI 1700620051 is the National Provider Identifier for SAMUEL NISSLY, a Physical Therapist provider located in Grimes, IA. This NPI was enumerated on June 21, 2024.
SAMUEL NISSLY practices at 241 SE DESTINATION DR STE 200, Grimes, IA 50111.

Quick Facts

NPI
1700620051
Type
Individual
Enumerated
Jun 21, 2024
Last Updated
Jun 21, 2024

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