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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS MEDEMA, DPT

Active

NICHOLAS MEDEMA, DPT is a Physical Therapy Assistant healthcare provider located in STREATOR, Illinois. NPI 1750839635 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · STREATOR, IL

Registration Details

NPI Number
1750839635
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2016 (9.717083827206 yrs)
Last Updated
Dec 14, 2021
License
070022366 (IL)

Practice Information

Address
103 E KENT ST
STREATOR, IL, 613642221
Browse IL providers · Browse ZIP 61364
Phone
8156731770
Fax
8156731772
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in STREATOR, IL

Name Credential NPI
MRS. DAWN J MUELLER P.T. 1902843634
JULIE GABEHART P.T. 1811936339
PAMELA TRAVERS PT 1255489696
DONALD DAMRON PT 1992855423
LYNN SCHNEEMAN P.T. 1649391517
DR. ANN COLLEEN NASVYTIS DPT 1124221254
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.