Individual provider · Type 1 NPI

Corey Phillips Nickerson

Physical Therapist · San Antonio, TX

NPI number 1508419219 Active

Practice location

1100 Wilford Hall Loop, Jbsa Lackland Afb
San Antonio, TX 78236

Call (210) 292-5034 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X1322584 (TX)

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 1508419219

Corey Phillips Nickerson's National Provider Identifier is 1508419219, issued on Jul 22, 2019. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 29, 2026.