Individual
MS. NIKKOL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1657 W GRANT RD, TUCSON, AZ 85745-1433
(520) 670-9558
(520) 382-5550
Mailing address
5501 N ORACLE RD, STE 101, TUCSON, AZ 85704-3850
(520) 293-5551
(520) 293-6638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86059251885745B003
TRICARE
AZ
Enumeration date
06/28/2005
Last updated
09/01/2010
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