Provider Demographics
NPI:1891807525
Name:CLICK, NATHAN PAUL (MS PT, MTC)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:PAUL
Last Name:CLICK
Suffix:
Gender:M
Credentials:MS PT, MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1367 DEARING DOWNS CIR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-4010
Mailing Address - Country:US
Mailing Address - Phone:205-540-4039
Mailing Address - Fax:
Practice Address - Street 1:3569 PELHAM PKWY
Practice Address - Street 2:SUITE 7
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-2089
Practice Address - Country:US
Practice Address - Phone:205-664-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3929225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist