Individual
NICHOLE RENEE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
327 4TH ST NE, WATERTOWN, SD 57201-2545
(605) 880-7668
Mailing address
327 4TH ST NE, WATERTOWN, SD 57201-2545
(605) 880-7668
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0326
SD
225200000X
Physical Therapy Assistant
Primary
A1747
MN
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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