NPI 1245636380

Malinda Nieman, ATC

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Crown Point, IN

Practice location

Address: 300 E 109th Ave, Crown Point, IN 46307-8693
Phone: (219) 662-2400
Mailing address: 253 S Heather Ln, Crown Point, IN 46307-9148

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 360000659A (IN)

Other Physical Medicine & Rehabilitation providers in Indiana →

Registry record

NPI: 1245636380
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2014
Record last updated: 18 Nov 2014

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.