Individual
NICHOLAS VOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(920) 579-3074
Mailing address
W9341 BLEWETT RD, ELDORADO, WI 54932-9620
(920) 579-3074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12319825-2401
UT
2251X0800X
Orthopedic Physical Therapist
12319825-2401
UT
Other
Enumeration date
06/22/2021
Last updated
12/20/2021
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