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

MS. SUSAN JEAN NICKELSON, OTRIL

Active

MS. SUSAN JEAN NICKELSON, OTRIL is a Occupational Therapist healthcare provider located in KYLE, Texas. NPI 1538260518 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · KYLE, TX

Registration Details

NPI Number
1538260518
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2006 (19.884769973207 yrs)
Last Updated
Mar 7, 2011
Licenses
OT1320 (CA)
108876 (TX)

Practice Information

Address
407 S OLD HIGHWAY 81
KYLE, TX, 786405310
Browse TX providers · Browse ZIP 78640
Phone
5125043035
Fax
5125049287
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in KYLE, TX

Name Credential NPI
KEITH TISDELL 1477550630
MRS. KAREN RENE RATCLIFF OTR 1861652273
LOREN NICOLE MOSES OTR/L 1316234016
MS. NICOLE ANNE BRODHEAD OTR 1023364023
STACY RAYANN BUSTOS OTR 1649678863
VACHONNA S DURALL OTR 1295545820
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.