National Provider Identifier
Kimberly Sue Nichols, P.T, ATC
Kimberly Sue Nichols, P.T, ATC is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 247-8535.
Profile Overview
- NPI
- 1518932912
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 20, 2006
- Last Updated
- July 08, 2007
Practice Location
- 880 Elmgrove RD
- Suite 2
- Rochester, NY 14624-1320
Phone: (585) 247-8535
Mailing Address
- 92 West Ave
- Brockport, NY 14420-1306
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1518932912
- Entity Type
- Individual
- Last Name
- Nichols
- First Name
- Kimberly
- Middle Name
- Sue
- Credential
- P.T, ATC
- Mailing Street Address
- 92 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1306
- Mailing Country
- US
- Mailing Phone
- (585) 637-0790
- Mailing Fax
- (585) 637-3572
- Practice Street Address
- 880 Elmgrove RD
- Practice Address Line 2
- Suite 2
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1320
- Practice Country
- US
- Practice Phone
- (585) 247-8535
- Practice Fax
- (585) 247-1957
- Enumeration Date
- February 20, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 7695330 (Aetna), 110575FT (NY, Preferred Care)