Provider Demographics
NPI:1033946553
Name:ARCENEAUX, NICHOLAS (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:ARCENEAUX
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:NICK
Other - Middle Name:
Other - Last Name:ARCENEAUX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1000 REA DR
Mailing Address - Street 2:APT. 2412
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501
Mailing Address - Country:US
Mailing Address - Phone:706-531-8193
Mailing Address - Fax:
Practice Address - Street 1:250 JOHN MORROW JR PKWY
Practice Address - Street 2:SUITE 115-116
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:678-862-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT017381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist