Doctor Name: | TANIA M NICLAS |
NPI Number: | 1083788632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 3584 W 9000 S Jordan Valley Medical Center Physical Therapy Suite 102 West Jordan, UT - 840885710 |
Business Phone Number: | 8016012309 |
Business Fax Number: | |
Mailing Address: | 12799 Aspen Springs Dr, RIVERTON |
State: | UT |
Postal Code: | 840967339 |
Phone Number: | 8012546027 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 10/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |