Individual
NICHOLE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
250 12TH AVE STE 160, CORALVILLE, IA 52241-2912
(319) 354-4800
Mailing address
250 12TH AVE STE 160, CORALVILLE, IA 52241-2912
(319) 345-4800
(319) 345-4819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
078134
IA
Other
Enumeration date
07/30/2015
Last updated
02/18/2016
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