Larry Nickelson
Physical Therapy Assistant · Alva, OK
Practice location
916 Noble StAlva, OK 73717-2852
- Phone
- (888) 873-4221
NPI record
- NPI
- 1609254077
- Entity type
- Individual (Type 1)
- Enumeration date
- May 18, 2015
- Last updated
- May 18, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
2517 | OK |
About Larry Nickelson
Larry Nickelson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 916 Noble St, Alva, OK 73717-2852. The NPI number 1609254077 was assigned on May 18, 2015 and the record was last updated on May 18, 2015.
Larry Nickelson lists a license in the registry: #2517 (OK) 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 Larry Nickelson?
The NPI number is 1609254077.
What is the phone number of Larry Nickelson?
The phone number listed for the practice location is (888) 873-4221.
Where is Larry Nickelson located?
916 Noble St, Alva, OK 73717-2852.
What is the taxonomy code for Larry Nickelson?
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.
Other Physical Therapy Assistant providers in Alva
- Tammy Lynn Maxwell, PTA1141 9TH St