| Doctor Name: | MR. NICHOLAS NEUBAUER |
| NPI Number: | 1922484138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1223022 |
| Business Practice Address: | 925 S Semoran Blvd Suite 108 Winter Park, FL - 327925313 |
| Business Phone Number: | 8888301050 |
| Business Fax Number: | |
| Mailing Address: | 214 S 330th Pl, FEDERAL WAY |
| State: | WA |
| Postal Code: | 980035907 |
| Phone Number: | 2534317416 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2015 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1223022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |