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

Larry Nickelson

Individual provider Physical Therapy Assistant · NPI 1609254077

Larry Nickelson is a Physical Therapy Assistant in Alva, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015

Practice location Address checks out

916 Noble St
Alva, OK 73717-2852
Phone: (888) 873-4221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2517 (OK)

Record details

NPI number1609254077
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 18, 2015
Mailing address916 Noble St, Alva, OK 73717-2852

Other providers in Alva