Nicole R Stahl, PTA

NPI #1043739204 in Andover, Kansas

Provider Information

NPI Number
1043739204
Entity Type
Individual
Name
Nicole R Stahl, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 19, 2017
Last Updated
Sep 19, 2017

Practice Location

Address
550 N ANDOVER RD
State
Kansas
ZIP Code
67002-9712
Phone
(316) 202-0195

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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