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

Tatum Nichols, PT, DPT

Individual provider Physical Therapist · NPI 1295186310

Tatum Nichols, PT, DPT is a Physical Therapist in East Peoria, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

110 Carver Ln
East Peoria, IL 61611-3052
Phone: (309) 282-6704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 S Seth Child Rd, Manhattan, KS 66502-3003 — (785) 587-4235

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.025835 (IL)

Record details

NPI number1295186310
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

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