David Michael Nissenbaum, MPT MA LAT

NPI #1376502773 in Cross Plains, Wisconsin

Provider Information

NPI Number: 1376502773
Entity Type: Individual
Name: David Michael Nissenbaum, MPT MA LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT MA LAT
Enumeration Date: Mar 23, 2006
Last Updated: May 31, 2025

Practice Location

Address: 1118 MAIN ST STE A
City: Cross Plains
State: Wisconsin
ZIP Code: 53528-9477
Phone: (608) 413-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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Physical Therapy Center Sc	Physical Therapist	Saint Croix Falls	AI Deep Dive

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