Individual
JOSH NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3105 BLUFF CREEK DR, COLUMBIA, MO 65201-3529
(573) 442-6060
Mailing address
5005 BATES CREEK CT, COLUMBIA, MO 65201-2907
(573) 881-9511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MO
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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