Krystal Ann Nissen-Ade

NPI #1952570830 in Omak, Washington

Provider Information

NPI Number: 1952570830
Entity Type: Individual
Name: Krystal Ann Nissen-Ade
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Enumeration Date: Feb 26, 2008
Last Updated: Feb 26, 2008

Practice Location

Address: 2 HAUSSLER RD
City: Omak
State: Washington
ZIP Code: 98841-9591
Phone: (509) 826-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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