Individual
NICHOLAS TODD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 ADDINGTON DR, RUSSELL, KY 41169-1836
(606) 833-1120
Mailing address
38 PRIVATE DRIVE 706, CHESAPEAKE, OH 45619-8036
(304) 690-2883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02811
KY
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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