Individual
JOHN W NIEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
5861 MELODY LN, MENTOR ON THE LAKE, OH 44060-3135
(440) 321-5755
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010365
OH
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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