NPI 1184295438

Breanna Nichols, PTA

Practitioner Physical Therapy Assistant Kingsport, TN

Practice location

Address: 1 Sheridan Sq STE 100, Kingsport, TN 37660-7392
Phone: (423) 230-0194
Mailing address: 1200 Corporate Dr STE 400, Hoover, AL 35242-5424

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7919 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306604823 (VA)

Registry record

NPI: 1184295438
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2021
Record last updated: 23 Jul 2021

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.