Individual
TRENT ALLEN NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5267 W 95TH ST, OVERLAND PARK, KS 66207-3201
(913) 640-9090
(913) 640-9091
Mailing address
PO BOX 320, BELTON, MO 64012-0320
(816) 331-9111
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-05669
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-05669
PHYSICALTHERAPIST
KS
Enumeration date
06/15/2017
Last updated
06/15/2017
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