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

Miss. Nikki Dominick Stout

Individual provider Occupational Therapist · NPI 1639549850

Miss. Nikki Dominick Stout is an Occupational Therapist in Maidens, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015

Practice location Address checks out

1825 Blackwood Dr
Maidens, VA 23102-2526
Phone: (804) 912-0410
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119004666 (VA)

Record details

NPI number1639549850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2015
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

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