Tiffany Nicole Nielsen, PT

NPI #1346752847 in Gillette, Wyoming

Provider Information

NPI Number: 1346752847
Entity Type: Individual
Name: Tiffany Nicole Nielsen, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 25, 2017
Last Updated: Sep 17, 2018

Practice Location

Address: 1103 E BOXELDER RD STE U
City: Gillette
State: Wyoming
ZIP Code: 82718
Phone: (307) 686-8177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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