Individual
NICHOLAS TYLER MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
3290 RIDGEWAY DR STE 3, CORALVILLE, IA 52241-2023
(319) 665-2630
Mailing address
3290 RIDGEWAY DR STE 3, CORALVILLE, IA 52241-2023
(319) 665-2630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
085171
IA
2255A2300X
Athletic Trainer
082934
IA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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