| Doctor Name: | SEAN THOMAS NIXON |
| NPI Number: | 1023290079 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | P11339 |
| Business Practice Address: | 100 Fitness Dr Fuquay Varina, NC - 275267263 |
| Business Phone Number: | 9195573100 |
| Business Fax Number: | 9195573177 |
| Mailing Address: | 100 Fitness Dr, FUQUAY VARINA |
| State: | NC |
| Postal Code: | 275267263 |
| Phone Number: | 9195573100 |
| Fax Number: | 9195573177 |
| NPI Enumeration Date: | 12/02/2007 |
| NPI Last Update Date: | 02/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | P11339 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |