Nikki Dominick Stout

Occupational Therapist · Maidens, VA

Individual Active NPI

NPI number 1639549850

Practice location

1825 Blackwood Dr
Maidens, VA 23102-2526
Phone
(804) 912-0410

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NPI record

NPI
1639549850
Entity type
Individual (Type 1)
Enumeration date
September 30, 2015
Last updated
May 9, 2023
Certified
May 9, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 0119004666 VA

About Nikki Stout

Nikki Dominick Stout is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 1825 Blackwood Dr, Maidens, VA 23102-2526. The NPI number 1639549850 was assigned on September 30, 2015 and the record was last updated on May 9, 2023.

Nikki Stout lists a license in the registry: #0119004666 (VA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nikki Dominick Stout?

The NPI number is 1639549850.

What is the phone number of Nikki Stout?

The phone number listed for the practice location is (804) 912-0410.

Where is Nikki Stout located?

1825 Blackwood Dr, Maidens, VA 23102-2526.

What is the taxonomy code for Nikki Stout?

The primary taxonomy code is 225X00000X – Occupational Therapist.

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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