Dr DEIDRA R NICHOLS is a female medical professional, specializing in Physical Therapy. She graduated in 2012.
BRIO PRACTICE MANAGEMENT IDAHO LLC
1950 1ST ST
IDAHO FALLS
ID
834014342
Tel: 8013614381
| Npi | 1225390305 |
| Pac Id | 8729234240 |
| Professional Enrollment Id | I20120815000458 |
| Last Name | NICHOLS |
| First Name | DEIDRA |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | BRIO PRACTICE MANAGEMENT IDAHO LLC |
| Group Practice Pac Id | 9739462805 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 1950 1ST ST |
| Line 2 Street Address | |
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| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834014342 |
| Phone Number | 8013614381 |
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| Professional Accepts Medicare Assignment | Y |
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