Individual
JOHN JOSEPH NICACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1666 E OLIVE WAY, SEATTLE, WA 98102-5627
(206) 323-1666
(206) 323-6639
Mailing address
511 TEMPLE PL, SEATTLE, WA 98122-6247
(206) 399-7712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005253
WA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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