DR. Nicholas Henry Hastert, PT, DPT

NPI #1306376975 in Green River, Wyoming

Provider Information

NPI Number: 1306376975
Entity Type: Individual
Name: DR. Nicholas Henry Hastert, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jun 15, 2017
Last Updated: Jun 15, 2017

Practice Location

Address: 330 UPLAND WAY
City: Green River
State: Wyoming
ZIP Code: 82935
Phone: (307) 875-4654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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