MR. BRIAN NICHOLS, MPT ATC
Physical Therapist
Active
Individual
NPI: 1679679088
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | RPT1136 (ID) |
Frequently Asked Questions
NPI 1679679088 is the National Provider Identifier for MR. BRIAN NICHOLS, MPT ATC, a Physical Therapist provider located in Star, ID. This NPI was enumerated on September 15, 2006.
MR. BRIAN NICHOLS, MPT ATC practices at 9652 W STATE STREET, Star, ID 83669.
Quick Facts
- NPI
- 1679679088
- Type
- Individual
- Enumerated
- Sep 15, 2006
- Last Updated
- Jul 2, 2012
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