Leah Reiko Nystrom

NPI #1477101632 in La Conner, Washington

Provider Information

NPI Number: 1477101632
Entity Type: Individual
Name: Leah Reiko Nystrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2019
Last Updated: Aug 30, 2019

Practice Location

Address: 413 MORRIS ST
City: La Conner
State: Washington
ZIP Code: 98257
Phone: (360) 466-7458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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