NPI 1306552500

Shaun Nieto, PTA

Practitioner Physical Therapy Assistant Madera, CA

Practice location

Address: 517 S a St 517 S a St, Madera, CA 93638
Phone: (559) 673-9228
Mailing address: 4539 Hillside Rd, Madera, CA 93636-8013

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 50075 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1306552500
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2023
Record last updated: 31 Jan 2023

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.