Individual
STEPHANIE M NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
13157 STATE LINE RD, KANSAS CITY, MO 64145-1650
(816) 941-2550
(816) 941-2520
Mailing address
655 W 61ST TER, KANSAS CITY, MO 64113-1333
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2008002438
MO
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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