Individual
JIM NESPOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
ATHLETIC DEPARTMENT, 132 REC ATH FAC, AMES, IA 50011-1330
(515) 294-2626
(515) 294-2794
Mailing address
ATHLETIC DEPARTMENT, 132 REC ATH FAC, AMES, IA 50011-1330
(515) 294-2626
(515) 294-2794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01685
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239400
—
IA
01
—
45756
BCBS
IA
Enumeration date
12/18/2006
Last updated
07/08/2007
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