Provider Demographics
NPI:1225919954
Name:FRAZEE, NICOLAS (DPT)
Entity type:Individual
Prefix:
First Name:NICOLAS
Middle Name:
Last Name:FRAZEE
Suffix:
Gender:X
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2939
Mailing Address - Country:US
Mailing Address - Phone:406-585-3701
Mailing Address - Fax:
Practice Address - Street 1:117 E OAK ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2939
Practice Address - Country:US
Practice Address - Phone:406-585-3701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-PRV-32755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist