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Brian Nichols, MPT ATC
NPI 1679679088 · on the registry since 2006
Practice
- Address
- 9652 W State Street
Star, ID 83669 - Phone
- (208) 286-0766
- Fax
- (208) 286-0768
- Organisation at this address
- Nichols Therapy Group Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho