Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKALUS SHANE DAVIS, PT
ActiveNICKALUS SHANE DAVIS, PT is a Physical Therapy Assistant healthcare provider located in BOISE, Idaho. NPI 1336615749 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BOISE, ID
Registration Details
- NPI Number
- 1336615749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2018 (7.7903136225269 yrs)
- Last Updated
- Apr 18, 2023
- License
-
PT-5619 (ID)
Practice Information
- Address
-
1010 S ALLANTE PL STE 101BOISE, ID, 837091660Browse ID providers · Browse ZIP 83709
- Phone
- 2083705166
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. BRIDGET CATHERINE CHOW | P.T. | 1063418796 |
| MRS. TWILA ROSE DOVER | P.T. | 1538165170 |
| MS. LINDA HAMMANN | MS, PT, SCS, ATC | 1386640928 |
| STEPHANIE K HERNLEY | PT | 1932109501 |
| MATTHEW RYAN BOOTH | PT | 1265416291 |
| LINDSAY S. FREEBORN | PT | 1124005095 |
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.