Amanda Donn Nichols, PTA

NPI #1689109639 in Grayson, Kentucky

Provider Information

NPI Number: 1689109639
Entity Type: Individual
Name: Amanda Donn Nichols, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 27, 2017
Last Updated: Apr 27, 2017

Practice Location

Address: 361 WINDBURN LN
City: Grayson
State: Kentucky
ZIP Code: 41143-8372
Phone: (606) 316-1171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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