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Individual
NICOLE CALKINS MCDONALD
Active
Individual
NICOLE CALKINS MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
08897R
LA
225100000X
Physical Therapist
10172
TN
225100000X
Physical Therapist
14999
NC
225100000X
Physical Therapist
2014024675
MO
225100000X
Physical Therapist
PT.014735
OH
225100000X
Physical Therapist
Primary
PT011499
GA
225100000X
Physical Therapist
PTH7170
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I656584
MEDICARE PTAN
AL
01
—
361704YUZ5
MEDICARE PTAN
LA
01
—
361704YWWB
MEDICARE PTAN
LA
01
—
511-50774
BCBS-ATHENS
AL
01
—
511-51008
BCBS-HOOVER
AL
01
—
511-51009
BCBS-CHELSEA
AL
01
—
511-51010
BCBS-MOODY
AL
01
—
511-51011
BCBS-WEST MADISON
AL
01
—
MA4370087
MEDICARE PTAN
MO
01
—
USES NPI
BCBS-LA
LA
Enumeration date
05/19/2014
Last updated
05/24/2021
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