# MR. NICHOLAS BENJAMIN WASHMUTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760406391
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070.016379 | IL | — |
| 225100000X | Physical Therapist | 2006022078 | MO | — |
| 225100000X | Physical Therapist | PTH7291 | AL | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 11/17/2022