Nancy Susanne Nickerson, PT

NPI #1922193200 in Emmett, Idaho

Provider Information

NPI Number
1922193200
Entity Type
Individual
Name
Nancy Susanne Nickerson, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Oct 4, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
809 S WASHINGTON
City
Emmett
State
Idaho
ZIP Code
83617
Phone
(208) 365-5341

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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