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

NICOLE NICKELL, OT

Active Sole Proprietor

NICOLE NICKELL, OT is a Specialist healthcare provider located in BOISE, Idaho. NPI 1760788384 is currently active in the NPPES registry. Verify at CMS.

Specialist · BOISE, ID

Registration Details

NPI Number
1760788384
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2011 (15.523159439042 yrs)
Last Updated
Jan 28, 2011
License
OTL-1014 (ID)
Sole Proprietor
Yes

Practice Information

Address
6855 W FAIRVIEW AVE
BOISE, ID, 837048046
Browse ID providers · Browse ZIP 83704
Phone
2083238888
Fax
2083238889
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BOISE, ID

Name Credential NPI
DR. RONALD E. LOWRY M.D., D.D.S., P.A. 1992797641
DR. JENNIFER G. GOTTO M.D. 1518941459
BREK DAVID STOKER AUD, CCC-A 1609822402
DR. SCOTT L CHRISTENSEN MD 1386672228
RICHARD C RIPPLE JR. M.D. 1497861769
DR. ERIC GREGORY THOMPSON DPT 1063514867
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.