Individual
DR. EDWARD SCOTT NICKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
135 BUNTON CREEK RD STE 302, KYLE, TX 78640-5701
(512) 492-3726
(512) 492-3729
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 492-3743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1351611
TX
Other
Enumeration date
08/19/2021
Last updated
04/03/2025
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