Nichols Therapy Group PC

NPI #1043380769 in Star, Idaho

Provider Information

NPI Number: 1043380769
Entity Type: Organization
Organization Name: Nichols Therapy Group PC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 9, 2006
Last Updated: Jun 29, 2012

Practice Location

Address: 9652 W STATE STREET
City: Star
State: Idaho
ZIP Code: 83669-5858
Phone: (208) 286-0766

Authorized Official

Name: MR. BRIAN DAVID NICHOLS, MPT
Title: PRESIDENT
Phone: (208) 286-0766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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MRS. Danielle-Noelle D. Wuerfel, DPT	Physical Therapist	Star	AI Deep Dive
Krysia Kristine Rousseau, DPT	Physical Therapist	Star	AI Deep Dive
MRS. Judianne King Nichols, MPT	Physical Therapist	Star	AI Deep Dive
Lindsey E. Decloss, M.S.P.T.	Physical Therapist	Star	AI Deep Dive
Clayton Towner Shaw, P.T.	Physical Therapist	Star	AI Deep Dive

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