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

MRS. CAROL ANN NICKEL, P.T.

Active Sole Proprietor

MRS. CAROL ANN NICKEL, P.T. is a Physical Therapy Assistant healthcare provider located in MT. VERNON, Washington. NPI 1821389495 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MT. VERNON, WA

Registration Details

NPI Number
1821389495
Provider Type
Individual
Gender
Female
NPI Issued
Apr 29, 2011 (15.299000320787 yrs)
Last Updated
Apr 29, 2011
Licenses
PT00009559 (WA)
PT1714 (CA)
Sole Proprietor
Yes

Practice Information

Address
315 MAIN ST
VALLEY KIDS THERAPY
MT. VERNON, WA, 982732314
Browse WA providers · Browse ZIP 98273
Phone
3603363432
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
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.