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

DEIDRA NICHOLS, DPT

Active

DEIDRA NICHOLS, DPT is a Physical Therapy Assistant healthcare provider located in SHELLEY, Idaho. NPI 1225390305 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SHELLEY, ID

Registration Details

NPI Number
1225390305
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2012 (14.136332312821 yrs)
Last Updated
Dec 31, 2019
License
PT3043 (ID)

Practice Information

Address
650 N STATE ST
SHELLEY, ID, 832744900
Browse ID providers · Browse ZIP 83274
Phone
2087824744
Fax
2089061554
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SHELLEY, ID

Name Credential NPI
CHRYSTAL DAWN BROWNING PT, DPT, PCS 1568621282
JOEL CRUZ PT 1003382276
MATTHEW JOHN RICCI DPT 1023675287
WILLIAM ARNELL DPT 1619537487
JOSHUA DARWIN BISCHOFF DPT 1033737127
EVELYN WILLIAMS DPT 1972250991
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.