Doctor Name: | BRENDA J. NICOLAI |
NPI Number: | 1023450822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MHS, OCS |
License Number: | 00438 |
Business Practice Address: | 806 S Kingshighway St Sikeston, MO - 638015919 |
Business Phone Number: | 5738873200 |
Business Fax Number: | 5738872400 |
Mailing Address: | 806 S Kingshighway St, SIKESTON |
State: | MO |
Postal Code: | 638015919 |
Phone Number: | 5738873200 |
Fax Number: | 5738872400 |
NPI Enumeration Date: | 07/22/2013 |
NPI Last Update Date: | 02/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |