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

Tisha Nichols

Individual provider Occupational Therapy Assistant · NPI 1477259752

Tisha Nichols is an Occupational Therapy Assistant in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

3710 S Lenoir St
Columbia, MO 65201-5463
Phone: (573) 876-5800
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2011040057 (MO)

Record details

NPI number1477259752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address5203 Lookout Peak Dr, Columbia, MO 65202-3563

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