Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS A DETRICK, DPT
ActiveDR. NICHOLAS A DETRICK, DPT is a Physical Therapy Assistant healthcare provider located in JBSA LACKLAND, Texas. NPI 1306360797 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1306360797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2017 (9.0518014883007 yrs)
- Last Updated
- Jul 18, 2022
- License
-
293415 (CA)
Practice Information
- Address
-
1100 WILFORD HALL LOOP BLDG 4554JBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102927395
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL ARLYN BLOWERS | PT | 1255390845 |
| DR. JACQUELINE L ASTRERO | PT, DPT | 1336261676 |
| ALDEN L TAYLOR | DPT, D.SC., OCS, SCS | 1568666899 |
| JOSH VANWYNGAARDEN | DPT, PHD | 1275817215 |
| KRISTEN DORIAN FERRERI | DPT, OCS | 1497091276 |
| DR. BRANDON O'NEILL WIELERT | DPT | 1629418124 |
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.