Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 6931 | MN |
NPI | 1306949359 |
---|---|
Provider Name | Nathan Stier |
First Address | Chanhassen, MN 55317 |
Second Address | Chanhassen, MN 55317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 08/07/2007 |