Individual
MICHELLE MARIA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-1096
Mailing address
5000 BIRCH ST STE 3000, NEWPORT BEACH, CA 92660-2140
(888) 835-0894
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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