Ronald Niles

Individual provider Active NPI Physical Therapy Assistant · Greenfield, IA

NPI 1376902353 · NPPES record last updated Feb 18, 2016

Key facts

NPI
1376902353
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
210 W Iowa St
Greenfield, IA 50849-1313
Phone
(641) 704-1918
NPI assigned
Feb 18, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

210 W Iowa St
Greenfield, IA 50849-1313

Mailing address

210 W Iowa St
Greenfield, IA 50849-1313

Other providers in Greenfield, IA

All providers in Greenfield, IA · Physical Therapy Assistant in Iowa

Sources for this page

Verify at the official NPI Registry.