Healthcare Provider Details

I. General information

NPI: 1164977880
Provider Name (Legal Business Name): ELIZABETH NOFSINGER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH SCHECKEL

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 GRANT BLVD W
WABASHA MN
55981-1042
US

IV. Provider business mailing address

1200 GRANT BLVD W
WABASHA MN
55981-1042
US

V. Phone/Fax

Practice location:
  • Phone: 651-565-4531
  • Fax:
Mailing address:
  • Phone: 651-565-4531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10260
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: