Doctor Name: | MR. MARK EDWARD NICHOLS |
NPI Number: | 1407997547 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 02111 |
Business Practice Address: | 2900 1st Ave Huntington, WV - 257021241 |
Business Phone Number: | 3045261333 |
Business Fax Number: | 3045261335 |
Mailing Address: | 245 Forrest Rd, HURRICANE |
State: | WV |
Postal Code: | 255269341 |
Phone Number: | 3045627637 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |