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Individual
NICHOLAS YEUTTER
Active
Individual
NICHOLAS YEUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13555-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
10/10/2016
Last updated
04/15/2020
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