Bethany Nichols, PTA

NPI #1477854131 in Burleson, Texas

Provider Information

NPI Number
1477854131
Entity Type
Individual
Name
Bethany Nichols, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Nov 11, 2010
Last Updated
Nov 11, 2010

Practice Location

Address
208 NE SHADY OAKS DR
State
Texas
ZIP Code
76028-2508
Phone
(817) 447-0404

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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