Jamie Nichols, DPT | |
3810 Alder Ln, Eagan, MN 55122-3831 | |
(651) 379-2437 | |
Not Available |
Full Name | Jamie Nichols |
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Gender | Female |
Speciality | Physical Therapist |
Location | 3810 Alder Ln, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356822514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11292 (Minnesota) | Primary |
Provider Name | Odom Sports Medicine Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
Mailing Address | Practice Location Address |
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Jamie Nichols, DPT 10653 Wayzata Blvd, Minnetonka, MN 55305-1528 Ph: () - | Jamie Nichols, DPT 3810 Alder Ln, Eagan, MN 55122-3831 Ph: (651) 379-2437 |
Kevin Todd Josephson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4067 Halite Ln, Eagan, MN 55122 Phone: 651-675-6163 | |
Erika Nielsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1284 Corporate Center Dr Ste 500, Eagan, MN 55121 Phone: 612-775-2940 | |
Stephanie Anne Ham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Vikings Cir, Eagan, MN 55121 Phone: 952-456-7600 Fax: 952-456-7601 | |
Maria Barton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121 Phone: 612-775-2940 | |
Chee Vang, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Vikings Cir, Eagan, MN 55121 Phone: 952-456-7600 Fax: 952-456-7601 | |
Lori A Froehling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121 Phone: 612-775-2950 Fax: 651-686-0499 | |
Mr. Christian Antony Dawson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1440 Duckwood Dr, Eagan, MN 55122 Phone: 952-808-3000 Fax: 952-808-3001 |