| Nicole L Neisen, SLP | |
|
300 S Bruce St, Marshall, MN 56258-1934 | |
| (507) 537-9172 | |
| (507) 537-2729 |
| Full Name | Nicole L Neisen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 300 S Bruce St, Marshall, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760968200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 9959 (Minnesota) | Primary |
| Provider Name | Hands Hooves And Hearts Therapeutic Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891332599 PECOS PAC ID: 6305275264 Enrollment ID: O20200330000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole L Neisen, SLP 1108 Hackberry Dr Apt 5, Marshall, MN 56258-3112 Ph: () - | Nicole L Neisen, SLP 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9172 |
Peter Amberg, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr Ste 704, Marshall, MN 56258 Phone: 507-532-3393 Fax: 320-839-4196 | |
Traci Pagel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-530-6683 | |
Kalley Marie Hoffmann, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9172 | |
Katie Moland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr Ste 704, Marshall, MN 56258 Phone: 507-532-3393 | |
Neil Thomas Eichten, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9172 | |
Kelly Jean Ritter Brunsvold, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9006 | |
Victoria Ann Botten, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9172 |