Nancy P. Nichols, RPT
Individual provider Active NPI Physical Therapist · Milaca, MN
NPI 1376629295 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376629295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4146 (MN)
- Practice address
- 1142 Bear St
Milaca, MN 56353-3948 - Phone
- (763) 389-6420
- Fax
- (763) 389-6410
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4146 | MN | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4146 | MN | Yes |
Addresses
Primary practice location
1142 Bear St
Milaca, MN 56353-3948
Mailing address
1142 Bear St
Milaca, MN 56353-3948
Phone (763) 389-6422
Other providers in Milaca, MN
- Kimberly Ann Molacek
- Natural Elements Health Center, Inc.
- Naturally Connected Counseling LLC
- Rachel Joy Nester
- Tammy Lynn Newgard
- Christine Marie Noggle
- Sheila Mae Noggle
- Northstar Wellness LLC
- Debra Fay Peel
- Kendra Ramaley
All providers in Milaca, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.