NPI 1053806703
Andrew Nielsen, PTDPT
Practice location
- Address
- 1103 E Boxelder Rd STE U, Gillette, WY 82718
- Phone
- (307) 686-8177
- Fax
- (307) 686-9484
- Mailing address
- 600 Running W Dr, Gillette, WY 82718-2017
Registered specialties
Orthopedic Physical Therapist
Primary
Registry record
- NPI
- 1053806703
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Jun 2018
- Record last updated
- 18 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.