Individual
TODD NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1011 10TH ST, ALAMOGORDO, NM 88310-6425
(575) 439-9878
(575) 439-9876
Mailing address
1011 10TH ST, ALAMOGORDO, NM 88310-6425
(575) 439-9878
(575) 439-9876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4875
NM
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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