Judianne King Nichols in Star - Physical Therapist
Judianne King Nichols - NPI 1184794810
Judianne King Nichols is a Physical Therapist in Star, Idaho. Judianne King Nichols practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Judianne King Nichols is 1184794810. The last update date is 2012-07-02.
Judianne King Nichols's current location address is 9652 W State Street, Star, Idaho. You can contact this provider via phone number 2082860766 and fax number 2082860768. The mailing address for Judianne King Nichols is 9652 W State Street, Star, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judianne King Nichols |
|---|---|
| Address | 9652 W State Street, Star, Idaho |
| Phone Number | 2082860766 |
| Fax Number | 2082860768 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1184794810 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2012-07-02 |
Provider Mailing Address Detail
| Address | 9652 W State Street |
|---|---|
| City | Star |
| State | Idaho (ID) |
| Post Code | 836695858 |
| Phone Number | 2082860766 |
| Fax Number | 2082860768 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1371 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806941800 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judianne King Nichols by the Centers for Medicare & Medicaid Services?
The Judianne King Nichols has been issued the NPI (National Provider Identifier) 1184794810 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Judianne King Nichols is physically located?
The Judianne King Nichols is situated at the following address: 9652 W State Street, Star, ID 836695858.
What is Judianne King Nichols's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judianne King Nichols's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did Judianne King Nichols receive its 1184794810 assignment from the Centers for Medicare & Medicaid Services?
The Judianne King Nichols was assigned its 1184794810 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Judianne King Nichols most recently updated or revised?
The information pertaining to Judianne King Nichols, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-02.