# LISA NIELSEN-WHITE, PT, DPT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720669146
- **Authorized official:** LISA NIELSEN-WHITE PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (402) 965-1670

## Contact information

- **Practice address:** 14439 275TH ST, TREYNOR, IA 51575-7266
- **Practice address phone:** (402) 965-1670
- **Mailing address:** 14439 275TH ST, TREYNOR, IA 51575-7266
- **Mailing address phone:** (402) 965-1670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2021
- **Last updated:** 04/16/2021