Individual provider · Type 1 NPI

Edward C. Nickerson, RPT

Specialist · Sacramento, CA

NPI number 1992820518 Active

Practice location

2801 K St, Ste 310
Sacramento, CA 95816-5120

Call (916) 353-2270 Map

Fax (916) 353-2279

Mailing address

11251 Coloma Rd, Ste J
Gold River, CA 95670-4431

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT12609 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992820518

Edward C. Nickerson, RPT's National Provider Identifier is 1992820518, issued on Mar 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 9, 2007.