Individual
REILLY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-8045
(479) 363-6422
(479) 363-6763
Mailing address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-8045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5085
AR
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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