Individual
NICHOLAS PATRICK EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 NE TUDOR RD, LEES SUMMIT, MO 64086-4507
(816) 554-6003
(816) 554-6013
Mailing address
317 MEADOW CHASE DR, FESTUS, MO 63028-1575
(314) 458-4442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020029259
MO
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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