NPI 1669956041 · live from the CMS NPI Registry
James T Ahlstrom, PT, DPT
Physical Therapist in Hawthorne, NV. National Provider Identifier 1669956041, active.
NPI record
| NPI | 1669956041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 200 S A St, Hawthorne, NV 89415 |
| Practice phone | 775-945-2461 |
| Mailing address | 112 W 5th St, Box 1554, Hawthorne, NV 89415 |
| Enumerated | September 20, 2018 |
| Last updated | October 13, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 3842 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.