Laura Nissen

NPI #1942082029 in Kimberly, Wisconsin

Provider Information

NPI Number: 1942082029
Entity Type: Individual
Name: Laura Nissen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2023
Last Updated: Oct 16, 2023

Practice Location

Address: 825 COBBLESTONE LN
City: Kimberly
State: Wisconsin
ZIP Code: 54136-2116
Phone: (920) 282-6658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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