Mark A. Niebuhr, PT

NPI #1679615934 in Sparta, Wisconsin

Provider Information

NPI Number: 1679615934
Entity Type: Individual
Name: Mark A. Niebuhr, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 13, 2007
Last Updated: Dec 28, 2011

Practice Location

Address: 310 W MAIN STREET
City: Sparta
State: Wisconsin
ZIP Code: 54665-2170
Phone: (608) 269-2132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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