IndividualActive
Anthony Nielsen
NPI 1104466432 · Physical Therapist · Minot Afb, ND
Provider details
- NPI number
- 1104466432
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 099165 (IA)
Mailing address
10 Missile Ave
Minot Afb, ND 58705-5003
Registry dates
- Enumerated
- 2020-01-15
- Last updated
- 2024-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.