Individual
EMILY NICKLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12613 TAYLORSVILLE RD, STE 118, LOUISVILLE, KY 40299-5496
(502) 267-1480
(502) 267-1982
Mailing address
8303 LIMEHOUSE LN, LOUISVILLE, KY 40220-3836
(502) 262-3022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005789
KY
Other
Enumeration date
04/04/2011
Last updated
07/21/2011
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