Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTI D FIDDELKE, MPT
ActiveMISTI D FIDDELKE, MPT is a Physical Therapy Assistant healthcare provider located in RAVENNA, Nebraska. NPI 1629023031 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RAVENNA, NE
Registration Details
- NPI Number
- 1629023031
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2006 (20.079788293305 yrs)
- Last Updated
- Oct 24, 2022
- License
-
1761 (NE)
Practice Information
- Address
-
321 GRAND AVERAVENNA, NE, 688691321Browse NE providers · Browse ZIP 68869
- Phone
- 3084527154
- Fax
- 3084523394
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.