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Individual

NICKLAUS WHEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
1020 S MAIN ST, FRANKLIN, KY 42134-2370
(270) 586-7000
(270) 586-7007
Mailing address
2235 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-5081
(270) 781-1151
(270) 781-1959

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005564
KY

Other

Enumeration date
02/11/2010
Last updated
05/03/2010
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