NPI 1043627144

Justin Nichols, PT

Practitioner Physical Therapist Ridgeland, MS

Practice location

Address: 711 Avignon Dr, Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 607-1415

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-5535 (MS)

Other Physical Therapist providers in Mississippi →

Registry record

NPI: 1043627144
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2014
Record last updated: 21 Jul 2014

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.