Individual
MR. BENJAMIN J NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
5460 E 2200 N STE 3, EDEN, UT 84310-9105
(801) 745-3200
(801) 745-6115
Mailing address
1421 N 7275 E, HUNTSVILLE, UT 84317-9615
(801) 745-3200
(801) 745-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8572509-2401
UT
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/08/2017
Last updated
06/19/2024
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