Individual
MS. NICOLE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1133 COLLEGE AVE STE G200, MANHATTAN, KS 66502-2934
(785) 539-9669
Mailing address
1133 COLLEGE AVE STE G200, MANHATTAN, KS 66502-2934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03048
KS
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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