NPI 1639338874

Nicole Marie Sieg, PTA

Practitioner Physical Therapy Assistant Goshen, IN

Practice location

Address: 2400 College Ave, Goshen, IN 46528-5010
Phone: (574) 533-0351
Mailing address: 21814 Angela Dr, Goshen, IN 46526-9431

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06003382A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1639338874
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2008
Record last updated: 3 Jun 2008

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.