IndividualActive
Jens Nuesken, LPTA
NPI 1770899254 · Specialist · Delavan, IL
Provider details
- NPI number
- 1770899254
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 160005451 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
505 W 4th St
Delavan, IL 61734-9688
Phone: (309) 241-7814
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 684
Delavan, IL 61734-0684
Registry dates
- Enumerated
- 2010-08-23
- Last updated
- 2010-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.