Individual
NICHOLAS LOUIS HENNICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10199 WOODFIELD LN, SAINT LOUIS, MO 63132-2922
(877) 407-3422
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012023539
MO
Other
Enumeration date
11/01/2024
Last updated
02/24/2025
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