Individual
JESSICA NIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13915 BURNET RD STE 204, AUSTIN, TX 78728-6537
(512) 583-3792
Mailing address
13915 BURNET RD STE 204, AUSTIN, TX 78728-6537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2157625
TX
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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