Individual
NICHOLAS ELLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
333 S KIRKWOOD RD STE 201, KIRKWOOD, MO 63122-6161
(314) 909-4848
Mailing address
14515 N OUTER 40 RD STE 110, CHESTERFIELD, MO 63017-5746
(314) 434-8680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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