Stephen Grant Nichols, MPT Valid NPI

Individual provider · Physical Therapist · Taylorsville, MS

NPI

1689705253

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT3150 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-08

Last updated

2007-07-08