MS. Nicole Marie Tillman, MACCC-SLP
MS. Nicole Marie Tillman, MACCC-SLP is a Qualified Speech Language Pathologist in Cape Girardeau, Missouri. Qualified in 2006, 20 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 20
- Licensed in
- MO
- In the registry since
- 2015
Practice location Address checks out
2001 N Kingshighway StCape Girardeau, MO 63701-2127
Phone: (573) 335-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 2009013299 (MO) |
|---|
Record details
| NPI number | 1780065235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-SLP |
| Sole proprietor | No |
| NPI enumerated | June 10, 2015 |
| Last updated in NPPES | October 18, 2021 |
| Certification date | October 18, 2021 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Powerback Rehabilitation Llc — 616 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Colleagues at Powerback Rehabilitation LLC
- Jayachandra Bommareddy Physical Therapist · Clinton Township, MI
- Dr. Jasyn Haney I, MD Family Medicine Physician · Sherman, TX
- James P Laberge, DO Family Medicine Physician · Williamston, MI
- Brittany Lamb, DPT Physical Therapist · Saint Louis, MO
- Mr. William Lee Maynard Jr., PTMS Physical Therapist · Decatur, TX
- Christina M. Myint, MD Internal Medicine Physician · Dallas, TX
- Holly Nieusma, DO Student in an Organized Health Care Education/Training Program · Holt, MI
- Edward K Pike, BSOT Contractor · Kansas City, MO
- Breona Trice Occupational Therapist · Louisville, KY
- Bre'anna Valenzuela, MS, CCC-SLP Speech-Language Pathologist · North Richland Hills, TX
- Laurie Ann Wells, CCC-SLP Speech-Language Pathologist · Melbourne, FL
- Kimberly Whitcher, DPT Physical Therapy Clinic/Center · Harper, TX
Other providers in Cape Girardeau
-
Julie Spooler, MA, CCC-SLP
2561 Cobblestone Ct, Cape Girardeau, MO 63701-8456 · (573) 335-9182
-
Amy Stageberg, SLP
301 Clark Ave, Cape Girardeau, MO 63701-5105 · (573) 339-1201
-
Mrs. Brandy N Storck, MSCCC-SLP/L
3724 County Road 318, Cape Girardeau, MO 63701-9141 · (573) 651-4607
-
Mrs. Carrie Ann Stroup, MACCC-SLP
2400 Veterans Memorial Dr, Cape Girardeau, MO 63701 · (573) 290-5870
-
Adrienne Underwood, MA, CF-SLP
3120 Independence St, Cape Girardeau, MO 63703-5048 · (573) 335-1281
-
Erin Michel Vonnida, SLP
2400 Veterans Memorial Dr, Cape Girardeau, MO 63701-9620 · (417) 719-0699
-
Kylee Beth Weidenbenner, MA, SLP
1910 Whitener St, Cape Girardeau, MO 63701-5239 · (573) 334-2923