| Nicole Powell, PT, DPT | |
|
701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | |
| (509) 247-5050 | |
| Not Available |
| Full Name | Nicole Powell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 701 Hospital Loop, Fairchild Air Force Base, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255856373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jaco Rehab Mililani Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1508314089 PECOS PAC ID: 7012296718 Enrollment ID: O20161121002412 |
| Provider Name | Jaco Rehab Honolulu Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265073878 PECOS PAC ID: 8527495092 Enrollment ID: O20200221001176 |
| Provider Name | Jaco Rehab Waikele Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629619234 PECOS PAC ID: 2769819804 Enrollment ID: O20200302000493 |
| Provider Name | Jaco Rehab Mililani Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700427325 PECOS PAC ID: 5991132847 Enrollment ID: O20200305001547 |
| Provider Name | Jaco Rehab Kapolei Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437790052 PECOS PAC ID: 6305275355 Enrollment ID: O20200326002830 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Powell, PT, DPT 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 Ph: () - | Nicole Powell, PT, DPT 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 Ph: (509) 247-5050 |