Nicole D Bristow, PT, DPT
Physical Therapist in Jackson, MI. Individual provider (NPI-1).
NPI number1669964243
StatusActive
Last updated in NPPESMay 31, 2018
Details
- NPI
- 1669964243
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole D Bristow
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2018
- Last updated
- May 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501015343 | MI | Yes |
Other names
- Nicole D Hunt (Former Name)
Practice location
1201 E Michigan Ave Ste 300Jackson, MI 49201-1853
Phone 517-205-7633 · Fax 517-205-7634
Mailing address
1201 E Michigan Ave Ste 300Jackson, MI 49201-1853
Phone 517-205-7633 · Fax 517-205-7634
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All 84 Physical Therapist providers in Jackson · All 4,114 providers in Jackson
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