Individual
KRISTI LYNNETTE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
(931) 490-7038
Mailing address
4212 CAMPBELLSVILLE PIKE, LYNNVILLE, TN 38472-8008
(931) 527-9848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2256
TN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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