Provider Demographics
NPI:1891020186
Name:PATEE, NICOLAS AARON (DPT)
Entity Type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:AARON
Last Name:PATEE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 W. MAIN #117
Mailing Address - Street 2:PO BOX 972
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604
Mailing Address - Country:US
Mailing Address - Phone:360-608-3883
Mailing Address - Fax:360-687-2866
Practice Address - Street 1:2312 W MAIN ST STE 117
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4233
Practice Address - Country:US
Practice Address - Phone:360-608-3883
Practice Address - Fax:360-687-2866
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60111892225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist