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Search › Iowa › 225100000X

Samuel Nissly

NPI 1700620051 · on the registry since 2024

Practice

Address
241 Se Destination Dr Ste 200
Grimes, IA 50111
Phone
(515) 986-5190
Organisation at this address
Revive Chiropractic Inc.
Eastern Iowa Therapeutics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa