Individual
NIKKI LYNN JAGUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6206 E PIMA ST, STE 3, TUCSON, AZ 85712-7000
(520) 733-6227
(520) 733-7328
Mailing address
6206 E PIMA ST, STE 3, TUCSON, AZ 85712-7000
(520) 733-6227
(520) 733-7328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6941
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0460450
BCBS
AZ
Enumeration date
10/24/2005
Last updated
07/08/2007
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