Individual
ALLAN ROMINE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9621 RIDGETOP BLVD NW, SUITE 100, SILVERDALE, WA 98383-8502
(360) 782-3300
Mailing address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7500
(360) 307-7530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195813
LABOR & INDUSTRIES
WA
01
—
7166701
AETNA
—
05
—
8424244
—
WA
01
—
8918NI
REGENCE BLUESHIELD
—
Enumeration date
06/20/2006
Last updated
03/26/2018
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