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NPI Code Detail

MEDICARE: NICHOLAS BIGGS CPTA

MEDICARE:   NICHOLAS  BIGGS  CPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant14-01621KS

General Provider Information

NPI Number : 1265747042
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS BIGGS CPTA
Provider Business Mailing Address
First Line : 1923 N WEBB RD
Second Line :
City : WICHITA
State : KS
Zip : 67206-3405
Country : US
Telephone Number : 316-262-4886
Fax Number : 316-262-4887
Provider Business Practice Location Address
First Line : 12112 W KELLOGG ST
Second Line :
City : WICHITA
State : KS
Zip : 67235-1100
Country : US
Telephone Number : 316-440-1100
Fax Number : 316-440-1089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2010
Last Update Date : 08/17/2010

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Directions to “ NICHOLAS BIGGS CPTA” Practice Location

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