Individual provider · Type 1 NPI
Nicholas Childers
Pedorthist · Detroit, MI
NPI number
1295459204
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Fax (313) 576-1806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | None listed |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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About NPI 1295459204
Nicholas Childers's National Provider Identifier is 1295459204, issued on Oct 3, 2022. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 3, 2022.