person
Mr. Nicholas Childers
Pedorthist in Detroit, Michigan
NPI 1295459204

Nicholas Childers is a Pedorthist based in Detroit, MI. Nicholas Childers practices in Detroit, MI. The NPI Number for Nicholas Childers is 1295459204 and holds a License No. (Michigan).

The current practice location address for Nicholas Childers is 4646 John R St, Detroit, MI and can be reached out via phone at 313-576-1000 and via fax at 313-576-1806.

Location: 4646 John R St, Detroit, MI, 48201-1916
person
Provider Profile Details
NPI Number
1295459204
Provider Name
Nicholas Childers
Credential
Provider Entity Type
Individual
Gender
Male
Address
4646 John R St, Detroit, MI, 48201-1916
Phone Number
313-576-1000
Fax Number
313-576-1806
Provider Enumeration Date
10/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-1000
Fax Number
313-576-1806
person
Provider Business Mailing Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-1000
Fax Number
313-576-1806
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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