Individual
MRS. KIMBERLY JOAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA/LMT
Contact information
Practice address
230 HOSPITAL PLZ, WESTON, WV 26452-8558
(304) 269-8097
(304) 269-8187
Mailing address
401 3RD ST, STONEWOOD, WV 26301-4645
(304) 622-8867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
000951
WV
225700000X
Massage Therapist
Primary
2004-1442
WV
Other
Enumeration date
08/20/2006
Last updated
09/11/2025
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