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NICKALUS DAVIS, PT
PT
Physical Therapist
NPI: 1336615749IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
PT-5619(ID)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 1010 S ALLANTE PL STE 101
BOISE, ID 83709 - Phone
- (208) 370-5166
Quick Facts
- NPI
- 1336615749
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 8
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