Provider Demographics
NPI:1447810874
Name:ALBERS, NICOLAS ROSS (DPT)
Entity type:Individual
Prefix:
First Name:NICOLAS
Middle Name:ROSS
Last Name:ALBERS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3132 S HARMONY CT
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-6028
Mailing Address - Country:US
Mailing Address - Phone:605-759-2138
Mailing Address - Fax:
Practice Address - Street 1:3132 S HARMONY CT
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-6028
Practice Address - Country:US
Practice Address - Phone:605-759-2138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD18572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic