Individual
MADISON ELISABETH NITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, LAT, ATC
Contact information
Practice address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-0232
Mailing address
355 COUNTRY CLUB RD, CHADRON, NE 69337-7329
(308) 991-2481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
553
NE
225X00000X
Occupational Therapist
Primary
1731
NE
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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