IndividualActive
Nicholas Childers
NPI 1295459204 · Pedorthist · Detroit, MI
Provider details
- NPI number
- 1295459204
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Fax: (313) 576-1806
Approximate (ZIP-level) locationGet directions
Mailing address
4646 John R St
Detroit, MI 48201-1916
Registry dates
- Enumerated
- 2022-10-03
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.