Individual
NIKKI M LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20794 US HIGHWAY 61, SIKESTON, MO 63801-7260
(573) 471-2686
Mailing address
207 HEEB ST, CHAFFEE, MO 63740-1314
(573) 887-1469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015002018
MO
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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