Individual
NATHANIEL RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
215 NW 7TH ST, PENDLETON, OR 97801-1508
(541) 379-7333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10274
OR
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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