Individual
NICHOLE SCHLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-6840
Mailing address
PO BOX 277, FAIRBURY, NE 68352-0277
(402) 729-6840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3509
NE
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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