Search › Arizona › 106S00000X
Keanu Nicholas, RBT
NPI 1548915754 · on the registry since 2022
Practice
- Address
- 21000 N Pima Rd
Scottsdale, AZ 85255 - Phone
- (480) 535-3828
- Fax
- (317) 520-8200
- Organisation at this address
- Hopebridge Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 101
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-16
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 Arizona