Individual
NICOLE CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR STE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
510 MCKENDREE RD, ODESSA, MO 64076-6386
(816) 263-0378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
06/06/2018
Last updated
07/30/2020
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