Provider Demographics
NPI:1376837914
Name:HAMLIN, NICK ANDREW (DPT)
Entity type:Individual
Prefix:
First Name:NICK
Middle Name:ANDREW
Last Name:HAMLIN
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 1:2618 MANORWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-8224
Mailing Address - Country:US
Mailing Address - Phone:906-282-0751
Mailing Address - Fax:989-266-5458
Practice Address - Street 1:829 W MAIN ST STE I
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1998
Practice Address - Country:US
Practice Address - Phone:989-731-1927
Practice Address - Fax:989-266-5458
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501015340225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist