Nicole Nichelle Koenigshof, MSPT
Physical Therapist in Goshen, IN. Individual provider (NPI-1).
NPI number1760664783
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1760664783
- Entity type
- Individual (NPI-1)
- Name
- Nicole Nichelle Koenigshof
- Credential
- MSPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2007
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05011693A | IN | Yes |
Practice location
624 W Lincoln AveGoshen, IN 46526-2416
Phone 574-931-2801 · Fax 574-971-8569
Mailing address
4251 Lahmeyer RdFort Wayne, IN 46815-5676
Phone 260-482-7800 · Fax 260-484-0273
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All 25 Physical Therapist providers in Goshen · All 1,111 providers in Goshen
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