MR. DEREK NYSTROM PTA
NPI 1801397187
Physical Therapy Assistant in Eau Claire, WI
About Mr. Derek Nystrom Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DEREK NYSTROM PTA (NPI 1801397187) is an individual physical therapy assistant in Eau Claire, Wisconsin, licensed in Wisconsin (2176-19) and active in the NPI registry since February 2018. He maintains a secondary practice location in Chippewa Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAU CLAIRE, WI 54701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derek Nystrom's NPI number?
The NPI number for Derek Nystrom is 1801397187. It was assigned to this individual provider in the NPPES registry on February 22, 2018.
Where is Derek Nystrom located?
Derek Nystrom practices at 1109 W Clairemont Ave, Eau Claire, WI 54701. The listed phone number is (715) 717-5367.
What is Derek Nystrom's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Derek Nystrom was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.