SearchIllinois225100000X

Tatum Nichols, PT, DPT

NPI 1295186310 · on the registry since 2016

Practice

Address
110 Carver Ln
East Peoria, IL 61611
Phone
(309) 282-6704
Organisation at this address
Midwest Children'S Therapy, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Additional practice sites

  • 315 S Seth Child Rd, Manhattan, KS

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois