Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL VICTOR NOWACK, D.P.T
ActiveMICHAEL VICTOR NOWACK, D.P.T is a Physical Therapy Assistant healthcare provider located in SPIRIT LAKE, Idaho. NPI 1407940497 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SPIRIT LAKE, ID
Registration Details
- NPI Number
- 1407940497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.846479531907 yrs)
- Last Updated
- Nov 30, 2015
- License
-
PT00009579 (WA)
Practice Information
- Address
-
6186 W MAINESPIRIT LAKE, ID, 83869Browse ID providers · Browse ZIP 83869
- Phone
- 2086236717
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SPIRIT LAKE, ID
| Name | Credential | NPI |
|---|---|---|
| ADAM WHEELER | PT | 1508109331 |
| JACQUELYN ROSE MALLET | DPT | 1962243063 |
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.