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James T Ahlstrom, PT, DPT

Physical Therapist in Hawthorne, NV. Individual provider (NPI-1).

NPI number1669956041
StatusActive
Last updated in NPPESOct 13, 2021

Details

NPI
1669956041
Entity type
Individual (NPI-1)
Name
James T Ahlstrom
Credential
PT, DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 20, 2018
Certification date
Sep 28, 2021
Last updated
Oct 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist3842NVYes

Practice location

200 S A St
Hawthorne, NV 89415

Phone 775-945-2461

Mailing address

112 W 5th St
Box 1554
Hawthorne, NV 89415-4256

Phone 208-244-8202

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