Wade Nielson, DPT Valid NPI
Individual provider · Physical Therapist · Kanab, UT
- NPI
- 1477918084
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT-4276 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-12-24
- Last updated
- 2015-12-24
Practice location
355 N Main St
Kanab, UT 84741-3260
(435) 644-4199