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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHANIEL ADAM NICKERSON

Active

NATHANIEL ADAM NICKERSON is a Physical Therapy Assistant healthcare provider located in AIRWAY HEIGHTS, Washington. NPI 1083247340 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · AIRWAY HEIGHTS, WA

Registration Details

NPI Number
1083247340
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2020 (6.3176359141098 yrs)
Last Updated
Jun 7, 2023
License
PT614222222222220166 (WA)

Practice Information

Address
11919 W SUNSET HWY STE A
AIRWAY HEIGHTS, WA, 990019466
Browse WA providers · Browse ZIP 99001
Phone
5093565200
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in AIRWAY HEIGHTS, WA

Name Credential NPI
VANESSA C ANDERSON DPT 1467693747
AMANDA DAWN JOHNSON DPT 1477814143
TRAVIS C BIRRELL DPT 1043915101
MATTHEW VINSON DPT 1427890425
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.