Individual
NICOLE MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 GRAND MONTECITO PKWY STE 120, LAS VEGAS, NV 89149-0261
(702) 515-1540
Mailing address
22 NORTH 200 EAST. P.O.BOX 21026, AXTELL, UT 84621
(435) 893-1734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9796708-2402
UT
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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