Scott Nichols, DPT, ATC, CSCS

NPI #1982110706 in Sikeston, Missouri

Provider Information

NPI Number: 1982110706
Entity Type: Individual
Name: Scott Nichols, DPT, ATC, CSCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT, ATC, CSCS
Enumeration Date: Dec 15, 2017
Last Updated: Dec 15, 2017

Practice Location

Address: 1102 SIKES AVE
City: Sikeston
State: Missouri
ZIP Code: 63801-5021
Phone: (573) 471-5755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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