Individual
RYLEE MATTHEW NIEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Mailing address
5806 GOVES LN, JEFFERSON CITY, MO 65101-9151
(573) 616-8783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023039759
MO
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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