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

Nicole Amina Christofferson

Individual provider Physical Therapy Assistant · NPI 1609633031

Nicole Amina Christofferson is a Physical Therapy Assistant in Santa Rosa, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1400 N Dutton Ave Ste 1
Santa Rosa, CA 95401-7120
Phone: (707) 523-2848
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 53164 (CA)

Record details

NPI number1609633031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 1, 2024

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