Jeremiah Tate Nichols, PTA, LAT, ATC
NPI #1225784259 in Canton, Georgia
Provider Information
- NPI Number
- 1225784259
- Entity Type
- Individual
- Name
- Jeremiah Tate Nichols, PTA, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA, LAT, ATC
- Enumeration Date
- Feb 28, 2022
- Last Updated
- Feb 28, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physical Therapy Assistant |
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