Individual
COLLEEN P NIETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7459
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8842
TN
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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