Wade Nielson, DPT

NPI #1477918084 in Kanab, Utah

Provider Information

NPI Number: 1477918084
Entity Type: Individual
Name: Wade Nielson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 24, 2015
Last Updated: Dec 24, 2015

Practice Location

Address: 355 N MAIN ST
City: Kanab
State: Utah
ZIP Code: 84741-3260
Phone: (435) 644-4199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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