National Provider Identifier

Nichole M Bolles

Nichole M Bolles is listed in the NPPES registry with a primary specialty of Physical Therapist in Attica, NY and a listed phone number of (585) 322-3058.

NPI 1841631892Attica, NYPhysical Therapist

Profile Overview

NPI
1841631892
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 07, 2013
Last Updated
June 04, 2025

Practice Location

  • 2314 Stedman RD
  • Attica, NY 14011-9568

Phone: (585) 322-3058

Mailing Address

  • 61 Terrace Ln
  • Elma, NY 14059-9302

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1841631892
Entity Type
Individual
Last Name
Bolles
First Name
Nichole
Middle Name
M
Name Prefix
Mrs.
Mailing Street Address
61 Terrace Ln
Mailing City
Elma
Mailing State
NY
Mailing ZIP Code
14059-9302
Mailing Country
US
Mailing Phone
(585) 322-3058
Practice Street Address
2314 Stedman RD
Practice City
Attica
Practice State
NY
Practice ZIP Code
14011-9568
Practice Country
US
Practice Phone
(585) 322-3058
Enumeration Date
July 07, 2013
Last Updated
June 04, 2025
Sex
Female
Sole Proprietor
No
Certification Date
June 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)