# NICHOLSON PHYSICAL THERAPY, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770715336
- **Authorized official:** TODD NICHOLSON PT (OWNER)
- **Authorized official phone:** (712) 299-0866

## Contact information

- **Practice address:** 200 W RAILROAD ST, STORM LAKE, IA 50588-2449
- **Practice address phone:** (712) 299-0866
- **Mailing address:** 200 W RAILROAD ST, STORM LAKE, IA 50588-2449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 02144 | IA | Yes |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 03/04/2020