Individual
ANDREW NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1103 E BOXELDER RD STE U, GILLETTE, WY 82718
(307) 686-8177
(307) 686-9484
Mailing address
600 RUNNING W DR, GILLETTE, WY 82718-2017
(308) 530-7625
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
WY
Other
Enumeration date
06/26/2018
Last updated
07/18/2018
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