Individual
NICOLE ELIZABETH NIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
373 W 101ST TER STE 220, KANSAS CITY, MO 64114-4408
(816) 489-4161
(816) 942-3944
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05432
KS
225100000X
Physical Therapist
Primary
2016021905
MO
225100000X
Physical Therapist
PTL.0013950
CO
Other
Enumeration date
05/31/2016
Last updated
11/09/2021
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