Nichole Marie Fairbanks
Nichole Marie Fairbanks is a Physical Therapist in Duluth, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2014.
- Licensed in
- MN, WI
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
2501 Rice Lake RdDuluth, MN 55811-4819
Phone: (218) 625-6400
Fax: (218) 625-6452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 9006 (MN) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 12904 (WI) |
Record details
| NPI number | 1760889778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 20, 2014 |
| Last updated in NPPES | November 20, 2014 |
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