Provider Demographics
NPI:1992285621
Name:GREELEY, NORA KATHLEEN (DPT)
Entity type:Individual
Prefix:MS
First Name:NORA
Middle Name:KATHLEEN
Last Name:GREELEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:KATHLEEN
Other - Last Name:GREELEY-HICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:105 YORK ROAD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214
Mailing Address - Country:US
Mailing Address - Phone:270-348-6616
Mailing Address - Fax:360-874-0846
Practice Address - Street 1:463 TREMONT ST W STE 100
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-3743
Practice Address - Country:US
Practice Address - Phone:360-874-0745
Practice Address - Fax:360-874-0846
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60848456225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist