Tami Lynn Nickerson

Physical Therapy Assistant · Maitland, FL

Individual Active NPI

NPI number 1811015720

Practice location

630 N Maitland Ave
Maitland, FL 32751-4423
Phone
(407) 539-2488
Fax
(407) 539-2408

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NPI record

NPI
1811015720
Entity type
Individual (Type 1)
Enumeration date
March 27, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA 20278 FL

About Tami Nickerson

Tami Lynn Nickerson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 630 N Maitland Ave, Maitland, FL 32751-4423. The NPI number 1811015720 was assigned on March 27, 2007 and the record was last updated on July 8, 2007.

Tami Nickerson lists a license in the registry: #PTA 20278 (FL) 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 Tami Lynn Nickerson?

The NPI number is 1811015720.

What is the phone number of Tami Nickerson?

The phone number listed for the practice location is (407) 539-2488.

Where is Tami Nickerson located?

630 N Maitland Ave, Maitland, FL 32751-4423.

What is the taxonomy code for Tami 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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