# NICKALUS SHANE DAVIS
> **PHYSICAL THERAPIST IN PRIVATE PRACTICE** · BOISE, ID
## Provider
- **NPI:** 1336615749
- **Credential:** —
- **Primary specialty:** PHYSICAL THERAPIST IN PRIVATE PRACTICE
- **Gender:** Male
- **Medical school:** OTHER
- **Graduation year:** 2018
## Practice
- **Address:** 1010 S ALLANTE PL, BOISE, ID 837091660
- **Phone:** 2088673861
- **Accepts Medicare assignment:** Yes (individual)
- **Telehealth:** No
## Source
- [NPI Registry](https://npiregistry.cms.hhs.gov/provider-view/1336615749)
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