| Doctor Name: | MR. NICHOLAS BENJAMIN WASHMUTH |
| NPI Number: | 1760406391 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 2006022078 |
| Business Practice Address: | 509 Hamacher St Suite 101 Waterloo, IL - 622981592 |
| Business Phone Number: | 6189395555 |
| Business Fax Number: | 6189393424 |
| Mailing Address: | 880 Columbia Ctr, COLUMBIA |
| State: | IL |
| Postal Code: | 622362567 |
| Phone Number: | 6182819699 |
| Fax Number: | 6182819698 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2006022078 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |