Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL NISSLY
ActiveSAMUEL NISSLY is a Physical Therapy Assistant healthcare provider located in GRIMES, Iowa. NPI 1700620051 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRIMES, IA
Registration Details
- NPI Number
- 1700620051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2024 (2.1655996272505 yrs)
- Last Updated
- Jun 21, 2024
- License
-
126470 (IA)
Practice Information
- Address
-
241 SE DESTINATION DR STE 200GRIMES, IA, 501111249Browse IA providers · Browse ZIP 50111
- Phone
- 5159865190
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRIMES, IA
| Name | Credential | NPI |
|---|---|---|
| PAUL L OUVERSON | DPT | 1467422964 |
| MATTHEW GOES | PT | 1093750309 |
| JACOB FREDERICK PHILLIPS | DPT | 1336435619 |
| AMY KRITENBRINK | — | 1851708044 |
| KODY LUEDERS | — | 1053864892 |
| TAYLOR MITACEK | DPT | 1497253223 |
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.