Doctor Name: | MRS. NICHOLE MARIE EICKHOLT |
NPI Number: | 1275773111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 5501012916 |
Business Practice Address: | 1537 E Hill Rd Ste 400 Grand Blanc, MI - 484395186 |
Business Phone Number: | 8106031100 |
Business Fax Number: | 8106031101 |
Mailing Address: | 4466 W Bristol Rd, FLINT |
State: | MI |
Postal Code: | 485073170 |
Phone Number: | 8107331200 |
Fax Number: | 8107333130 |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 04/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501012916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |