| Wanda Kay Agent Nicholson, PT | |
|
283 W Broadway Blvd, Jefferson City, TN 37760-2302 | |
| (865) 475-9967 | |
| Not Available |
| Full Name | Wanda Kay Agent Nicholson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 283 W Broadway Blvd, Jefferson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902056740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT564 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Kay Agent Nicholson, PT 166 Sequoiah Ln, Jefferson City, TN 37760-3428 Ph: (865) 475-9967 | Wanda Kay Agent Nicholson, PT 283 W Broadway Blvd, Jefferson City, TN 37760-2302 Ph: (865) 475-9967 |
Jason Curtis Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213 | |
Fiorello Erico Pacia Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9012 | |
Andrew Fultz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213 | |
Mossy Creek Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 1405 S Sizer Ave, Jefferson City, TN 37760 Phone: 865-246-8090 | |
Sydnie Jordan Hodge, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 283 W Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-9037 | |
John Duty, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 646 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-471-6890 | |
Mrs. Milagros Pacia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213 |