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BRIAN NICHOLS, MPT ATC
MPT ATC
Physical Therapist
NPI: 1679679088IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
1136(ID)RPT1136(ID)
Education
OTHER
Class of 1996
Contact & Hours
- Address
- 9652 W STATE STREET
STAR, ID 83669 - Phone
- (208) 286-0766
Quick Facts
- NPI
- 1679679088
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 30
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