CODY DON NICKLES

WYNNE, AR
NPI1891042396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT4335)
Enumeration Date2012-08-14
Last Update Date2018-10-09
Business Address
MR. CODY DON NICKLES PT
3027 HWY 364 EAST
WYNNE, AR 72387
Phone number: 870-588-2408
Mailing Address
MR. CODY DON NICKLES PT
1011 MARION DR
WYNNE, AR 72396-2428
Phone number: 870-588-2408
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