Samuel Nissly

NPI #1700620051 in Grimes, Iowa

Provider Information

NPI Number: 1700620051
Entity Type: Individual
Name: Samuel Nissly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 21, 2024
Last Updated: Jun 21, 2024

Practice Location

Address: 241 SE DESTINATION DR STE 200
City: Grimes
State: Iowa
ZIP Code: 50111-1249
Phone: (515) 986-5190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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