Nicole Tiderencel CTRS

  • NPI 1881114841
According to our database, the NPI number for Nicole Tiderencel CTRS is 1881114841 and activated since 6 years ago. Nicole Tiderencel CTRS is an individual provider who specializes in Recreation Therapist, and the primary practice location is 1291 Stanley Rd Nw, Kennesaw, GA 30152. You can also contact Nicole Tiderencel CTRS via telephone number is (770) 427-0147. Provider NPI information was last updated on 06/21/2017.

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Overview of Nicole Tiderencel CTRS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/21/2017
  • Last updated: 06/21/2017

Primary Scrop of Practice

  • Taxonomy Code: 225800000X
  • Specialty: Recreation Therapist
  • License Number: 48030
  • License State: GA

Provider Mailing Address

  • Address: 1291 Stanley Rd Nw
    Kennesaw, GA 30152
  • Phone: 770-427-0147
  • Fax:

Provider Practice Location

  • Address: 1291 Stanley Rd Nw
    Kennesaw, GA 30152
  • Phone: 770-427-0147
  • Fax:

Scope of Practice

  • Taxonomy Code: 225800000X
  • Specialty: Recreation Therapist
  • License Number: 48030
  • License State: GA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nicole Tiderencel CTRS?
  • A: The npi number for Nicole Tiderencel CTRS is 1881114841.
  • Q: What are Nicole Tiderencel CTRS's specialties?
  • A: Nicole Tiderencel CTRS's specialties are Recreation Therapist and different specialities.
  • Q: What is the medical license for Nicole Tiderencel CTRS?
  • A: The medical license number for Nicole Tiderencel CTRS is 48030 and issued in GA in USA.
  • Q: Where is Nicole Tiderencel CTRS practice location?
  • A: Nicole Tiderencel CTRS is practicing at 1291 Stanley Rd Nw, Kennesaw, GA 30152.
  • Q: How to contact Nicole Tiderencel CTRS?
  • A: You can contact Nicole Tiderencel CTRS via 770-427-0147.