| Doctor Name: | ELIZABETH MORGAN NIESMAN |
| NPI Number: | 1053766055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT012300 |
| Business Practice Address: | 1171 Alexandria Ct Ne Brookhaven, GA - 303194548 |
| Business Phone Number: | 9728354757 |
| Business Fax Number: | |
| Mailing Address: | 1171 Alexandria Ct Ne, BROOKHAVEN |
| State: | GA |
| Postal Code: | 303194548 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2016 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT012300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |