Individual
NICHOLE ASHLEY MARLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8382 N WAYNE DR STE 204, HAYDEN, ID 83835-6028
(087) 199-0712
Mailing address
8382 N WAYNE DR STE 204, HAYDEN, ID 83835-6028
(612) 499-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7359
ID
Other
Enumeration date
05/25/2021
Last updated
03/15/2023
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