Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLE CHAUNTELLE WILSON
Active Sole ProprietorNICHOLE CHAUNTELLE WILSON is a Developmental Therapist healthcare provider located in IDAHO FALLS, Idaho. NPI 1740730811 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1740730811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2016 (9.8015994488495 yrs)
- Last Updated
- Oct 12, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 SHOUP AVEIDAHO FALLS, ID, 834023657Browse ID providers · Browse ZIP 83402
- Phone
- 2083594778
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN KUNKEL | — | 1093175473 |
| STEPHANIE OLSON | B.A. | 1760842140 |
| MRS. CARLY KAY POWELL | — | 1073974515 |
| BECKY ALLEN | — | 1427419886 |
| SANDRA CUMMINGS | — | 1154782365 |
| MARIE SHERANIAN | — | 1306296488 |
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.