Provider Demographics
NPI:1962892836
Name:NEER, NICOLE S I (DPT)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:S I
Last Name:NEER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 BELLA DAISY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-4807
Mailing Address - Country:US
Mailing Address - Phone:210-900-0190
Mailing Address - Fax:210-905-0363
Practice Address - Street 1:2211 BELLA DAISY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-4807
Practice Address - Country:US
Practice Address - Phone:210-900-0190
Practice Address - Fax:210-905-0363
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-30
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12333492251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics