Individual
NICHOLAS WEISHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 100, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Mailing address
N3957 LILLY RD, RUBICON, WI 53078-9771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14116
MN
225100000X
Physical Therapist
1757224
WI
225100000X
Physical Therapist
2305217384
VA
225100000X
Physical Therapist
Primary
CP053045T
SC
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
04/10/2026
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