Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE NISSEN
Active Sole ProprietorDR. SHANE NISSEN is a Physical Therapy Assistant healthcare provider located in CARROLL, Iowa. NPI 1629316369 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CARROLL, IA
Registration Details
- NPI Number
- 1629316369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2013 (13.511945982512 yrs)
- Last Updated
- Jan 30, 2013
- Licenses
-
9706 (AZ)004889 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
629 GRANADA RDCARROLL, IA, 514011709Browse IA providers · Browse ZIP 51401
- Phone
- 7122102147
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CARROLL, IA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER A. HANDLOS | PT | 1548209349 |
| DR. EMMALIE ROSE RASMUSSEN | D.P.T | 1144429515 |
| ANN MARIE RIAT | PT | 1659567642 |
| DR. CHRISTOPHER BRYAN STAUB | DPT, OCS, CGFI, MBA | 1972895621 |
| LUANN WALSH | — | 1184974636 |
| AMANDA K EISCHEID | PT | 1891127213 |
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.