Individual
DR. NICHOLE LEI BOY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1596 SUSAN A WILLIAMS WAY, SUITE D, CHINO VALLEY, AZ 86323-6172
(928) 636-7950
(928) 636-7951
Mailing address
1295 WESTHAVEN DR, VAIL, CO 81657-4395
(970) 476-7510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6301
AZ
225100000X
Physical Therapist
Primary
7255
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
939267
—
AZ
Enumeration date
11/17/2005
Last updated
01/30/2025
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