Neisha Ann Dickman, P.T.
Individual provider Active NPI Physical Therapist · Harbor Beach, MI
NPI 1245388917 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245388917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501008477 (MI)
- Practice address
- 305 S Klug Rd
Harbor Beach, MI 48441-8713 - Phone
- (989) 479-0452
- Fax
- (989) 479-3603
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501008477 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501008477 | MI | Yes |
Addresses
Primary practice location
305 S Klug Rd
Harbor Beach, MI 48441-8713
Mailing address
305 S Klug Rd
Harbor Beach, MI 48441-8713
Phone (989) 479-0452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0C25703 | Other | MI | BLUE CROSS PROVIDER |
Other providers in Harbor Beach, MI
- Concerned Home Care Inc
- Concerned Home Care Outsourcing, LLC
- Lisa Ann Daniels
- Michael A Delpiere
- Rhonda Lynn Dennis
- Eastern Huron Ambulance Service
- Camille Eusebio
- Gabriel B. Holdwick, DDS, PC
- Harbor Beach Chiropractic Clinic Inc.
- Harbor Beach Community Hospital Inc
All providers in Harbor Beach, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.