| Doctor Name: | MRS. BETTY H NICODEMUS |
| NPI Number: | 1295860922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | PTH3235 |
| Business Practice Address: | 245 Cahaba Valley Pkwy Pelham, AL - 351242216 |
| Business Phone Number: | 2059426820 |
| Business Fax Number: | 2059425627 |
| Mailing Address: | 911 Morgan Ave Sw, CULLMAN |
| State: | AL |
| Postal Code: | 350554616 |
| Phone Number: | 2567751731 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTH3235 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |