Individual
NIKKI RAE GRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
616 W LEOTA ST, NORTH PLATTE, NE 69101-6532
(308) 534-5590
Mailing address
616 W LEOTA ST, NORTH PLATTE, NE 69101-6532
(308) 534-5590
(308) 534-5570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2301
NE
Other
Enumeration date
11/19/2008
Last updated
01/20/2014
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