Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deidra Nichols, DPT

Individual provider Physical Therapist · NPI 1225390305

Deidra Nichols, DPT is a Physical Therapist in Shelley, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

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Practice location Address checks out

650 N State St
Shelley, ID 83274-4900
Phone: (208) 782-4744
Fax: (208) 906-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 Parkway Dr, Blackfoot, ID 83221-1667 — (208) 785-3446

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3043 (ID)

Record details

NPI number1225390305
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 13, 2012
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019

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