Individual
NIKOLAS BLAKE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2089 CECIL ASHBURN DR SE STE 202, HUNTSVILLE, AL 35802-2569
(256) 248-9482
Mailing address
2089 CECIL ASHBURN DR SE STE 202, HUNTSVILLE, AL 35802-2569
(256) 248-9482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA11922
AL
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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