Individual
NICOLE NOKLEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4209 S JUPITER DR, SALT LAKE CITY, UT 84124-3374
(801) 921-3725
Mailing address
4209 S JUPITER DR, SALT LAKE CITY, UT 84124-3374
(801) 921-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9431602-2401
UT
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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