Individual
DR. NILES FLEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT, SCS, ATC
Contact information
Practice address
WINGATE RD., REYNOLDS GYMNASIUM ROOM 106, WINSTON SALEM, NC 27106
(336) 758-5620
Mailing address
PO BOX 7329, WINSTON SALEM, NC 27109-6231
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
P13893
NC
2255A2300X
Athletic Trainer
LAT-2086
NC
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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