# NICKEY & CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nickey & Co., Health & Wellness Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205454816
- **Authorized official:** LATRICIA BRADFORD (DIRECTOR)
- **Authorized official phone:** (314) 254-7050

## Contact information

- **Practice address:** 2550 WOODSON RD, OVERLAND, MO 63114-5437
- **Practice address phone:** (314) 254-7050
- **Mailing address:** 2550 WOODSON RD, OVERLAND, MO 63114-5437
- **Mailing address phone:** (314) 254-7050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2020
- **Last updated:** 03/01/2022