Timothy James Nichols
Physical Therapy Assistant in Tulsa, OK. Individual provider (NPI-1).
NPI number1083159727
StatusActive
Last updated in NPPESJan 5, 2017
Details
- NPI
- 1083159727
- Entity type
- Individual (NPI-1)
- Name
- Timothy James Nichols
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2017
- Last updated
- Jan 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 778 | OK | Yes |
Practice location
1923 S Utica AveTulsa, OK 74104-6520
Phone 619-997-1568
Mailing address
1733 S Xanthus AveTulsa, OK 74104-5323
Phone 619-997-1568
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All 154 Physical Therapy Assistant providers in Tulsa · All 22,692 providers in Tulsa
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