Nathaniel Adam Nickerson

NPI #1083247340 in Airway Heights, Washington

Provider Information

NPI Number: 1083247340
Entity Type: Individual
Name: Nathaniel Adam Nickerson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 14, 2020
Last Updated: Jun 7, 2023

Practice Location

Address: 11919 W SUNSET HWY STE A
City: Airway Heights
State: Washington
ZIP Code: 99001-9466
Phone: (509) 356-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Physical Therapist	225100000X	Primary

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