Individual
NICOLE A STINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 N 4TH AVE E, SUITE G, NEWTON, IA 50208-3155
(641) 792-1273
(641) 791-4852
Mailing address
204 N 4TH AVE E, NEWTON, IA 50208-3135
(641) 792-1273
(641) 791-4852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005228
IA
225100000X
Physical Therapist
14798
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005228
STATE LICENSE
IA
01
—
14798
NC BOARD OF PHYSICAL THERAPY
NC
Enumeration date
11/15/2013
Last updated
11/17/2015
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