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

MR. NICHOLAS TILLY HAUN, PTA, CEAS II

Active

MR. NICHOLAS TILLY HAUN, PTA, CEAS II is a Physical Medicine & Rehabilitation healthcare provider located in HARTFORD CITY, Indiana. NPI 1821705278 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · HARTFORD CITY, IN

Registration Details

NPI Number
1821705278
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2022 (3.8248280636511 yrs)
Last Updated
Nov 3, 2022
License
06005092A (IN)

Practice Information

Address
410 PILGRIM BOULEVARD
HARTFORD CITY, IN, 473481382
Browse IN providers · Browse ZIP 47348
Phone
7653484197
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
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.