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

WANDA KAY AGENT NICHOLSON, PT

Active Sole Proprietor

WANDA KAY AGENT NICHOLSON, PT is a Physical Therapy Assistant healthcare provider located in JEFFERSON CITY, Tennessee. NPI 1902056740 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JEFFERSON CITY, TN

Registration Details

NPI Number
1902056740
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2008 (17.868203412524 yrs)
Last Updated
Oct 5, 2008
License
PT564 (TN)
Sole Proprietor
Yes

Practice Information

Address
283 W BROADWAY BLVD
JEFFERSON CITY, TN, 377602302
Browse TN providers · Browse ZIP 37760
Phone
8654759967
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JEFFERSON CITY, TN

Name Credential NPI
FIORELLO ERICO PACIA JR. PT 1083615843
MRS. MILAGROS PACIA 1629079496
JASON CURTIS MOORE PT 1003084047
HOLLY LONG P.T. 1649403924
ROBERT ALLEN MATIJEVICH PT 1952639916
AMBER NICOLE DAY PT, DPT 1790224582
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.