Individual
MR. THOMAS ANDREW NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,PT
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2682
(208) 677-6530
(208) 677-6306
Mailing address
PO BOX 208, OAKLEY, ID 83346-0208
(208) 862-3669
(208) 677-6306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-899
ID
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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