Individual provider · Type 1 NPI

Keegan Nichols, MS, ATC, SPT

Physical Therapist · Boise, ID

NPI number 1265802631 Active

Practice location

554 N Steelhead Way Ste 162
Boise, ID 83704-8388

Fax (208) 323-9752

Mailing address

100 S Locust Grove Rd Unit O101
Meridian, ID 83642-6389

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physical Therapist Primary 225100000X7532 (ID)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1265802631

Keegan Nichols, MS, ATC, SPT's National Provider Identifier is 1265802631, issued on Sep 29, 2015. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Boise, ID. The record was last updated on Aug 17, 2021.