Individual
NIDEO FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
3731 W COOK RD, FORT WAYNE, IN 46818-9662
(260) 215-4490
Mailing address
4939 WISTERIA LN, FORT WAYNE, IN 46804-1741
(260) 446-1630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300066435
—
IN
Enumeration date
08/10/2022
Last updated
10/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us