Individual
MICHAEL NIETLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 N 5TH AVE, MADILL, OK 73446-1200
(580) 795-3301
(580) 795-7307
Mailing address
PO BOX 831, MADILL, OK 73446-0831
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1267796
TX
225100000X
Physical Therapist
5168
OK
Other
Enumeration date
03/22/2016
Last updated
05/10/2017
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