Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLE MARIE FAIRBANKS
ActiveNICHOLE MARIE FAIRBANKS is a Physical Therapy Assistant healthcare provider located in DULUTH, Minnesota. NPI 1760889778 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DULUTH, MN
Registration Details
- NPI Number
- 1760889778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2014 (11.735077092515 yrs)
- Last Updated
- Nov 20, 2014
- Licenses
-
9006 (MN)12904 (WI)
Practice Information
- Address
-
2501 RICE LAKE RDDULUTH, MN, 558114819Browse MN providers · Browse ZIP 55811
- Phone
- 2186256400
- Fax
- 2186256452
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in DULUTH, MN
| Name | Credential | NPI |
|---|---|---|
| RICHARD D CROWELL | PT | 1255338265 |
| NORMAN D RADTKE | PT | 1780681791 |
| MISS CHRISTINA MARIE LORENTZ | PT | 1063489607 |
| MRS. JANA LYNN WHITING | PT | 1184691750 |
| ANDREW C KULAS | PT | 1265491740 |
| KIMBERLY E TALBOT | PT | 1548220411 |
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.