Elexa Nickerson

Physical Therapy Assistant · Orono, ME

Individual Active NPI

NPI number 1285188052

Practice location

117 Bennoch Rd
Orono, ME 04473-3620
Phone
(207) 866-4914

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NPI record

NPI
1285188052
Entity type
Individual (Type 1)
Enumeration date
August 10, 2016
Last updated
August 10, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PA4696 ME

Mailing address

98 Poplar St
Old Town, ME 04468-5901
Phone
(207) 745-4955

About Elexa Nickerson

Elexa Nickerson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 117 Bennoch Rd, Orono, ME 04473-3620. The NPI number 1285188052 was assigned on August 10, 2016 and the record was last updated on August 10, 2016.

Elexa Nickerson lists a license in the registry: #PA4696 (ME) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elexa Nickerson?

The NPI number is 1285188052.

What is the phone number of Elexa Nickerson?

The phone number listed for the practice location is (207) 866-4914.

Where is Elexa Nickerson located?

117 Bennoch Rd, Orono, ME 04473-3620.

What is the taxonomy code for Elexa Nickerson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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