Deidra Nichols, DPT

NPI #1225390305 in Shelley, Idaho

Provider Information

NPI Number
1225390305
Entity Type
Individual
Name
Deidra Nichols, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Jun 13, 2012
Last Updated
Dec 31, 2019

Practice Location

Address
650 N STATE ST
State
Idaho
ZIP Code
83274-4900
Phone
(208) 782-4744

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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