IndividualActive
Andrew Nuckolls
NPI 1932530730 · Physical Therapy Assistant · Woodland, WA
Provider details
- NPI number
- 1932530730
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- P160235428 (WA)
Mailing address
310 4th St
Woodland, WA 98674-8488
Registry dates
- Enumerated
- 2013-12-03
- Last updated
- 2013-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.