Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MARIE DESOUCHET, DPT
ActiveNICOLE MARIE DESOUCHET, DPT is a Physical Therapy Assistant healthcare provider located in BLOOMFIELD, New Mexico. NPI 1447739156 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLOOMFIELD, NM
Registration Details
- NPI Number
- 1447739156
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2018 (7.8201455246247 yrs)
- Last Updated
- Oct 25, 2018
- License
-
PT5349 (NM)
Practice Information
- Address
-
204A W BROADWAY AVEBLOOMFIELD, NM, 874135903Browse NM providers · Browse ZIP 87413
- Phone
- 5053337217
- Fax
- 5053337096
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BLOOMFIELD, NM
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS K HARRIS | M.S., P.T. | 1366566507 |
| VICTORIA D. COE | P.T. | 1356559215 |
| MRS. JERE NELL TYLER | PT | 1871816728 |
| MICHAEL KURITA | — | 1811496953 |
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.