Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS DECKER
Active Sole ProprietorNICHOLAS DECKER is a Occupational Therapy Assistant healthcare provider located in MERRIONETTE PARK, Illinois. NPI 1609440569 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MERRIONETTE PARK, IL
Registration Details
- NPI Number
- 1609440569
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2021 (5.2745993332071 yrs)
- Last Updated
- May 16, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
3144 W PARK LANE DRMERRIONETTE PARK, IL, 608034534Browse IL providers · Browse ZIP 60803
- Phone
- 7082140522
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.