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KEEGAN NICHOLS, MS, ATC, SPT
MS, ATC, SPT
Physical Therapist
NPI: 1265802631IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
7532(ID)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 554 N STEELHEAD WAY STE 162
BOISE, ID 83704 - Phone
- (208) 323-9747
Quick Facts
- NPI
- 1265802631
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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