| Doctor Name: | NICOLE MAE WOODARD |
| NPI Number: | 1326318296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 070017864 |
| Business Practice Address: | 567 N 5th St Ss172 Terre Haute, IN - 478091903 |
| Business Phone Number: | 8122379613 |
| Business Fax Number: | 8122379612 |
| Mailing Address: | 310 E Lamotte St, PALESTINE |
| State: | IL |
| Postal Code: | 624511328 |
| Phone Number: | 6185864001 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2012 |
| NPI Last Update Date: | 01/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070017864 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |