Individual
DANIEL NISBET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
(270) 442-9461
(270) 450-7085
Mailing address
510 LINCOLN DR, HERRIN, IL 62948-6334
(618) 997-6800
(618) 997-1187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008070
KY
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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