Brian David Nichols, MPT ATC
Physical Therapist in Star, ID. Individual provider (NPI-1).
NPI number1679679088
StatusActive
Last updated in NPPESJul 2, 2012
Details
- NPI
- 1679679088
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian David Nichols
- Credential
- MPT ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2006
- Last updated
- Jul 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | RPT1136 | ID | Yes |
| 225100000X | Physical Therapist | 1136 | ID |
Practice location
9652 W State StreetStar, ID 83669-5858
Phone 208-286-0766 · Fax 208-286-0768
Mailing address
9652 W State StreetStar, ID 83669-5858
Phone 208-286-0766 · Fax 208-286-0768
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Other Physical Therapist providers in Star, ID
- Boise River Physical TherapyNPI 1285014779
- Lindsey E. Decloss, M.S.P.T.NPI 1194822528
- Robert W Driscoll, PTNPI 1851507099
- Richard Samuel Francis, DPTNPI 1811696487
- Sydnie Alexandra KellerNPI 1154261410
- Judianne King Nichols, MPTNPI 1184794810
- Nichols Therapy Group PCNPI 1043380769
- Dell Rocco Pike, DPTNPI 1932023447
- Krysia Kristine Rousseau, DPTNPI 1093489601
- Serve Therapies LLCNPI 1740071414
All 14 Physical Therapist providers in Star · All 135 providers in Star
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