Individual
CHEREE NICOLE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
220 W. SIDE DRIVE #300, DECATUR, TX 76234
(254) 965-2040
(254) 965-7394
Mailing address
2269 NORTHWEST LOOP, STEPHENVILLE, TX 76401-1701
(254) 965-2040
(254) 965-7394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1333723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1333723
PTOT
TX
Enumeration date
01/27/2023
Last updated
01/27/2023
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