Provider Demographics
NPI:1871820936
Name:ROBBINS, NICHOLE R (DPT)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:R
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NICHOLE
Other - Middle Name:
Other - Last Name:WINIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 9TH AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-2465
Mailing Address - Country:US
Mailing Address - Phone:360-825-1188
Mailing Address - Fax:
Practice Address - Street 1:625 9TH AVE STE 220
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-2465
Practice Address - Country:US
Practice Address - Phone:360-825-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60095187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist