Individual
MADELINE SARAH NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
310 E GOLD COAST RD STE 113, PAPILLION, NE 68046-4857
(402) 609-1750
Mailing address
1415 CUMING ST APT 514, OMAHA, NE 68102-4737
(847) 302-2009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4803
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
08/29/2025
Last updated
08/29/2025
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