Dr. Shane Nissen
Dr. Shane Nissen is a Physical Therapist in Carroll, Iowa. Practices as a sole proprietor. Licensed in Arizona and Iowa.
- Licensed in
- AZ, IA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
629 Granada RdCarroll, IA 51401-1709
Phone: (712) 210-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 004889 (IA) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 9706 (AZ) |
Record details
| NPI number | 1629316369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2013 |
| Last updated in NPPES | January 30, 2013 |
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