DEIDRA NICHOLS, DPT
Physical Therapist
Active
Individual
NPI: 1225390305
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT3043 (ID) |
Frequently Asked Questions
NPI 1225390305 is the National Provider Identifier for DEIDRA NICHOLS, DPT, a Physical Therapist provider located in Shelley, ID. This NPI was enumerated on June 13, 2012.
DEIDRA NICHOLS, DPT practices at 650 N STATE ST, Shelley, ID 83274.
Quick Facts
- NPI
- 1225390305
- Type
- Individual
- Enumerated
- Jun 13, 2012
- Last Updated
- Dec 31, 2019
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