Most Relevant Information
Provider Data
| NPI Number: | 1003599119 |
| Provider Name: | NIKKI PEIRTSEGAELE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
2185 NW SHEVLIN PARK RD
BEND
OR
977037101
Practice Location Phone/Fax
| Phone: | 5417280713 |
| Fax: |
Provider Mailing Location
1200 CORPORATE DR STE 400
HOOVER
AL
352425424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |