Provider Demographics
NPI:1447009196
Name:NORDHUES, JACI JOANNE (DPT)
Entity type:Individual
Prefix:
First Name:JACI
Middle Name:JOANNE
Last Name:NORDHUES
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:JACI
Other - Middle Name:JOANNE
Other - Last Name:BRAHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:85320 549 AVE
Mailing Address - Street 2:
Mailing Address - City:PIERCE
Mailing Address - State:NE
Mailing Address - Zip Code:68767-3558
Mailing Address - Country:US
Mailing Address - Phone:402-649-5761
Mailing Address - Fax:
Practice Address - Street 1:8275 N SILVERBELL RD STE 113
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-5307
Practice Address - Country:US
Practice Address - Phone:520-382-8202
Practice Address - Fax:520-784-6575
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4641225100000X
AZCP043083T225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist