Individual
KATLIN MICHELE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 NE RAVENNA BLVD, UNIT 101, SEATTLE, WA 98115-8448
(206) 524-4977
(206) 524-4340
Mailing address
432 NE RAVENNA BLVD, UNIT 101, SEATTLE, WA 98115-8448
(206) 524-4977
(206) 524-4340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT34419
FL
225100000X
Physical Therapist
PT5468
NM
225100000X
Physical Therapist
Primary
PT60941291
WA
Other
Enumeration date
04/01/2019
Last updated
12/10/2020
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