Individual
NATHAN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12499 UNIVERSITY AVE STE 250, CLIVE, IA 50325-8271
(515) 985-7530
(515) 985-7531
Mailing address
101 TOWER RD STE 120, DAKOTA DUNES, SD 57049-5011
(605) 217-4320
(605) 217-2948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
095574
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114141546
—
IA
Enumeration date
08/20/2019
Last updated
11/27/2023
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