Individual
ALYSSA MICHELLE NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1295 KINWEST PKWY, IRVING, TX 75063-3560
(469) 899-2727
Mailing address
411 HARROLD ST APT 1142, FORT WORTH, TX 76107-2939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1287292
TX
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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