Individual
NICHOLAS ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9298 APISON PIKE STE 106, OOLTEWAH, TN 37363-7268
(423) 615-9636
Mailing address
9298 APISON PIKE STE 106, OOLTEWAH, TN 37363-7268
(423) 615-9636
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12119
TN
225100000X
Physical Therapist
40736
CA
Other
Enumeration date
01/16/2014
Last updated
05/22/2024
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