Individual
JESSICA EMILY NISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
175 S UNION BLVD STE 255, COLORADO SPRINGS, CO 80910-3126
(719) 305-8287
Mailing address
1554 HAPPINESS DR, COLORADO SPRINGS, CO 80909-2516
(719) 663-9191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005273
IA
225100000X
Physical Therapist
3090
NE
225100000X
Physical Therapist
Primary
PTL.0012457
CO
Other
Enumeration date
07/11/2012
Last updated
09/24/2015
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