Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1175083 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1175083 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 1175083 | TX |
NPI | 1427269570 |
---|---|
Provider Name | Cullen Michael Nigrini |
First Address | Austin, TX 78731-2816 |
Second Address | Austin, TX 78746-7742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 22/01/2022 |