Dr. Niles Fleet, DPT, PT, SCS, ATC
Physical Therapist, Sports in Winston Salem, NC. Individual provider (NPI-1).
NPI number1154730992
StatusActive
Last updated in NPPESAug 6, 2014
Details
- NPI
- 1154730992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Niles Fleet
- Credential
- DPT, PT, SCS, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2014
- Last updated
- Aug 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251S0007X | Physical Therapist, Sports | p13893 | NC | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | LAT-2086 | NC |
Practice location
Wingate Rd.Reynolds Gymnasium Room 106
Winston Salem, NC 27106
Phone 336-758-5620
Mailing address
Po Box 7329Winston Salem, NC 27109-6231
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