Individual
NICOLE YVONNE GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6405 METCALF AVE, SUITE 220, OVERLAND PARK, KS 66202-3927
(913) 831-2721
Mailing address
6405 METCALF AVE STE 220, OVERLAND PARK, KS 66202-4084
(913) 831-2721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225200000X
Physical Therapy Assistant
Primary
—
KS
Other
Enumeration date
09/26/2007
Last updated
07/01/2010
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