Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID MICHAEL NISSENBAUM, MPT MA LAT
ActiveDAVID MICHAEL NISSENBAUM, MPT MA LAT is a Physical Therapy Assistant healthcare provider located in CROSS PLAINS, Wisconsin. NPI 1376502773 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CROSS PLAINS, WI
Registration Details
- NPI Number
- 1376502773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2006 (20.212352961244 yrs)
- Last Updated
- May 31, 2025
- Licenses
-
209039 (WI)6391024 (WI)
Practice Information
- Address
-
1118 MAIN ST STE ACROSS PLAINS, WI, 535289477Browse WI providers · Browse ZIP 53528
- Phone
- 6084130550
- Fax
- 6084130552
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CROSS PLAINS, WI
| Name | Credential | NPI |
|---|---|---|
| MS. JESSICA ANN COONEY | PT | 1477603371 |
| JEFFREY SCHLEUSNER | DPT | 1215481262 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.