IndividualActive
Wyatt Nicholson
NPI 1851919856 · Clinical Exercise Physiologist · Demorest, GA
Provider details
- NPI number
- 1851919856
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
541 Historic Hwy. 441-N
Demorest, GA 30535
Phone: (706) 754-3113
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1741
Clarkesville, GA 30523-0030
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2020-07-07
- Certified
- 2020-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.