Individual
NICOLE THIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13481 W MCDOWELL RD STE 300, GOODYEAR, AZ 85395-2724
(623) 536-2325
Mailing address
15207 W SHERMAN ST, GOODYEAR, AZ 85338-3037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
226300000X
Kinesiotherapist
LPT-33012
AZ
Other
Enumeration date
06/01/2023
Last updated
06/19/2023
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