NPI 1063760403

Nathan Struble

Practitioner Physical Therapy Assistant Port Huron, MI

Practice location

Address: 1702 Water St, Port Huron, MI 48060-4136
Phone: (810) 966-9102
Mailing address: 3059 Sylvan Dr, Fort Gratiot, MI 48059-2856

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502000941 (MI)

Other Physical Therapy Assistant providers in Michigan →

Registry record

NPI: 1063760403
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2012
Record last updated: 15 Aug 2012

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.