NPI 1043601784

Justin Robert Nicol, DPT

Practitioner Physical Therapist Vadnais Heights, MN

Practice location

Address: 3545 Highway 61 N, Vadnais Heights, MN 55110-5223
Phone: (651) 439-8807
Fax: (651) 439-0232

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 9564 (MN)

Other Physical Therapist providers in Minnesota →

Registry record

NPI: 1043601784
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2015
Record last updated: 5 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.