Individual
EMILY J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03764
KS
225100000X
Physical Therapist
Primary
2008025329
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41478026
BCBS KC
—
01
—
MA4370047
MEDICARE PTAN
MO
Enumeration date
08/07/2008
Last updated
01/28/2014
Update your record
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