Tatum Nichols, PT, DPT
NPI #1295186310 in East Peoria, Illinois
Provider Information
- NPI Number
- 1295186310
- Entity Type
- Individual
- Name
- Tatum Nichols, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Jun 30, 2016
- Last Updated
- Jun 7, 2021
Practice Location
- Address
- 110 CARVER LN
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-3052
- Phone
- (309) 282-6704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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