Individual
NICHOLAS SHAHMOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 696-7799
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA.0014131
CO
225X00000X
Occupational Therapist
Primary
OT.0009175
CO
Other
Enumeration date
11/07/2024
Last updated
12/18/2025
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