Individual
DEBORAH ANN NUCKOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3101 SW 3RD ST, LEES SUMMIT, MO 64081-4060
(816) 321-1648
Mailing address
346 N DENVER AVE, KANSAS CITY, MO 64123-1336
(816) 547-5664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01173
MO
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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