Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NICOLE MIMS
Active
Individual
NICOLE MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1308509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21470457
DRIVER LICENSE
TX
Enumeration date
06/04/2018
Last updated
04/28/2020
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