| Doctor Name: | DR. NICHOLAS ALLEN SHIELDS |
| NPI Number: | 1114238516 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 3109162 |
| Business Practice Address: | 1619 South Kentucky St. Amarillo, TX - 79102 |
| Business Phone Number: | 8063732200 |
| Business Fax Number: | |
| Mailing Address: | 7550 Hillside, Apt. 719 AMARILLO |
| State: | TX |
| Postal Code: | 79119 |
| Phone Number: | 8173015990 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3109162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |