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

Miss. Nicole R Diaz, CTRS

Individual provider Recreation Therapist · NPI 1407245053

Miss. Nicole R Diaz, CTRS is a Recreation Therapist in Decatur, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 54294

Record details

NPI number1407245053
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJanuary 21, 2015

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