ADDISON O NICHOLS

ADVANCED PT OF NEWTON, LLC

Dr ADDISON O NICHOLS is a male medical professional, specializing in Physical Therapy. He graduated in 2019.

Contact

ADVANCED PT OF NEWTON, LLC

2311 S KANSAS RD
NEWTON
KS
671149032

Tel: 3162837187

ADDISON O NICHOLS Information

Npi 1770142010
Pac Id 6709111693
Professional Enrollment Id I20190715003016
Last Name NICHOLS
First Name ADDISON
Middle Name O
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2019
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCED PT OF NEWTON, LLC
Group Practice Pac Id 3476616848
Number Of Group Practice Members 6
Line 1 Street Address 2311 S KANSAS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEWTON
State KS
Zip Code 671149032
Phone Number 3162837187
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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