Kelly L Nickelson, PHYSICAL THERAPIST

NPI #1871780155 in Fulton, Missouri

Provider Information

NPI Number
1871780155
Entity Type
Individual
Name
Kelly L Nickelson, PHYSICAL THERAPIST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PHYSICAL THERAPIST
Enumeration Date
Oct 1, 2007
Last Updated
Apr 19, 2023

Practice Location

Address
401 GAYLORD DR
City
Fulton
ZIP Code
65251-2517
Phone
(573) 642-8541

Specialties & Taxonomy Codes

Specialty
Specialist
Physical Therapist

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