Individual
NICHOLAS JAMES MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 103, COON RAPIDS, MN 55433-5869
(612) 217-2154
(612) 447-0159
Mailing address
299 COON RAPIDS BLVD NW STE 103, COON RAPIDS, MN 55433-5869
(612) 217-2154
(612) 447-0159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10307
MN
2251X0800X
Orthopedic Physical Therapist
10307
MN
Other
Enumeration date
07/27/2018
Last updated
11/01/2021
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