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

Wanda Kay Agent Nicholson, PT

Individual provider Physical Therapist · NPI 1902056740

Wanda Kay Agent Nicholson, PT is a Physical Therapist in Jefferson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

283 W Broadway Blvd
Jefferson City, TN 37760-2302
Phone: (865) 475-9967
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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 PT564 (TN)

Record details

NPI number1902056740
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 29, 2008
Last updated in NPPESOctober 5, 2008
Mailing address166 Sequoiah Ln, Jefferson City, TN 37760-3428

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