Individual
TODD B NIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CSCS
Contact information
Practice address
5973 EXECUTIVE DR, SUITE #3, FITCHBURG, WI 53719-5303
(608) 663-1090
(608) 663-1097
Mailing address
5973 EXECUTIVE DR, SUITE #3, FITCHBURG, WI 53719-5303
(608) 663-1090
(608) 663-1097
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4757-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36113000
—
WI
Enumeration date
12/05/2006
Last updated
07/12/2007
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