Individual
JACOB NIENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10689
MN
Other
Enumeration date
03/10/2017
Last updated
06/21/2017
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