Doctor Name: | NICHOLAS RAINEY |
NPI Number: | 1093130650 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 24895 |
Business Practice Address: | 966 E Fry Blvd Sierra Vista, AZ - 856352640 |
Business Phone Number: | 5209551820 |
Business Fax Number: | |
Mailing Address: | 966 E Fry Blvd, SIERRA VISTA |
State: | AZ |
Postal Code: | 856352640 |
Phone Number: | 5209551820 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2014 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 24895 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |