MEDICARE: DAVID JOHN NACHTIGAL PT/RCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1100497	KS
2	225100000X	Physical Therapist	321	NE
3	227800000X	Certified Respiratory Therapist	16-00580	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295739795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JOHN NACHTIGAL PT/RCP

Provider Business Mailing Address
First Line	:	700 OREGON ST
Second Line	:
City	:	HIAWATHA
State	:	KS
Zip	:	66434-2232
Country	:	US
Telephone Number	:	785-742-7606
Fax Number	:	785-742-4490

Provider Business Practice Location Address
First Line	:	700 OREGON ST
Second Line	:
City	:	HIAWATHA
State	:	KS
Zip	:	66434-2232
Country	:	US
Telephone Number	:	785-742-7606
Fax Number	:	785-742-4490

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	12/18/2014

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Directions to “ DAVID JOHN NACHTIGAL PT/RCP” Practice Location

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