Individual
NICKOL MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12101 BEE CAVES RD, BEE CAVE, TX 78738-6391
(505) 353-2727
Mailing address
12101 BEE CAVES RD, BEE CAVE, TX 78738-6391
(505) 450-1300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2145517
TX
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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