| Doctor Name: | MRS. NICHOLE GRICE LAMBERTH |
| NPI Number: | 1194182246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 6675 |
| Business Practice Address: | 3507 W Main St Erin, TN - 370614148 |
| Business Phone Number: | 9312895460 |
| Business Fax Number: | 9312895461 |
| Mailing Address: | 1911 Limekiln Rd, TENNESSEE RIDGE |
| State: | TN |
| Postal Code: | 371785521 |
| Phone Number: | 9317213402 |
| Fax Number: | 9317213402 |
| NPI Enumeration Date: | 01/20/2016 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 6675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |