Individual
DR. JEFFREY NIELSEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
45 N 2ND E, PRESTON, ID 83263-1334
(801) 935-0127
Mailing address
45 N 2ND E, PRESTON, ID 83263-1334
(801) 935-0127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8136
ID
Other
Enumeration date
03/04/2025
Last updated
03/06/2025
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