1790829455 NPI number — MRS. NANCY T. NESBIT DPT, LAT, CSCS

Table of content: MRS. NANCY T. NESBIT DPT, LAT, CSCS (NPI 1790829455)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790829455 NPI number — MRS. NANCY T. NESBIT DPT, LAT, CSCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NESBIT
Provider First Name:
NANCY
Provider Middle Name:
T.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DPT, LAT, CSCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790829455
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 BIRCH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARK FALLS
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54552-0107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
715-762-1515
Provider Business Mailing Address Fax Number:
715-762-1599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 BIRCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARK FALLS
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54552-1415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-762-1515
Provider Business Practice Location Address Fax Number:
715-762-1599
Provider Enumeration Date:
02/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  3939 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3939 . This is a "WI STATE LICENSE FOR PT" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 37-039 . This is a "WI LICENSE- ATH.TRAINER" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 40174000 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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