Individual
GRETCHEN NICHOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02246
KS
225X00000X
Occupational Therapist
2004025176
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-02246
STATE LICENSE
KS
01
—
2004025176
STATE LICENSE
MO
Enumeration date
02/20/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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