Breanna Nichols, PTA

NPI #1184295438 in Kingsport, Tennessee

Provider Information

NPI Number: 1184295438
Entity Type: Individual
Name: Breanna Nichols, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 8, 2021
Last Updated: Jul 23, 2021

Practice Location

Address: 1 SHERIDAN SQ STE 100
City: Kingsport
State: Tennessee
ZIP Code: 37660-7392
Phone: (423) 230-0194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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