Individual
FAITH NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
572 NW 100 AVE, ATTICA, KS 67009-8803
(620) 960-8521
Mailing address
572 NW 100 AVE, ATTICA, KS 67009-8803
(620) 960-8521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02386
KS
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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