Mr. Gene R. Niec PTA
Physical Therapy Assistant in Iron Mountain, MI(View on Map)
Full Name
Mr. Gene R Niec PTA
NPI Number
1063688893
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/01/2008
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
1152-019
Contact
Information
Purpose
Mailing
Location
Address
W8515 MERRIMAN WEST RD # B
W8515 MERRIMAN WEST RD # B
City
Iron Mountain
Iron Mountain
State
MI
MI
Postal Code
49801-9553
49801-9553
Country
US
US
Telephone Number
(906) 779-1394
(906) 779-1394
Identifiers
Identifier
40440800
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/01/2008