MEDICARE: NICOLE FROST MSPT

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
1	225100000X	Physical Therapist	1137875	TX

General Provider Information

NPI Number	:	1760417521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE FROST MSPT

Provider Business Mailing Address
First Line	:	711 W 38TH ST
Second Line	:	BLDG B3
City	:	AUSTIN
State	:	TX
Zip	:	78705-1121
Country	:	US
Telephone Number	:	512-450-0909
Fax Number	:

Provider Business Practice Location Address
First Line	:	2765 BEE CAVE RD
Second Line	:	SUITE 209
City	:	AUSTIN
State	:	TX
Zip	:	78746-5640
Country	:	US
Telephone Number	:	512-327-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	04/15/2013

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Directions to “ NICOLE FROST MSPT” Practice Location

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