Individual
LISA NIELSEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14439 275TH ST, TREYNOR, IA 51575-7266
(402) 670-3819
Mailing address
14439 275TH ST, TREYNOR, IA 51575-7266
(402) 965-1670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03738
IA
225100000X
Physical Therapist
1671
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478800
—
IA
05
—
10025288900
—
NE
Enumeration date
11/01/2006
Last updated
03/15/2021
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