Individual
MR. RAYMOND SCOTT NOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
202 S WEST ST, CONCORDIA, MO 64020-9643
(660) 463-2267
Mailing address
100 WILLA ST, SWEET SPRINGS, MO 65351-1523
(660) 815-4034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011018348
MO
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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