| Doctor Name: | KYMBERLY ANN NICHOLAS |
| NPI Number: | 1013331974 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | PT012182 |
| Business Practice Address: | 6550 N Ridge Rd Suite 201 Madison, OH - 440573462 |
| Business Phone Number: | 4404281944 |
| Business Fax Number: | 4404285847 |
| Mailing Address: | 7551 Fredle Dr, CONCORD TWP |
| State: | OH |
| Postal Code: | 440779406 |
| Phone Number: | 4403509595 |
| Fax Number: | 4403571905 |
| NPI Enumeration Date: | 02/13/2014 |
| NPI Last Update Date: | 02/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT012182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |