Individual
NATHANIAL JAMES CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3801 SELSA RD, SUITE 7, INDEPENDENCE, MO 64057-1705
(816) 795-0434
(816) 795-0482
Mailing address
3361 SW SENSATION DR, APARTMENT 931, LEES SUMMIT, MO 64081-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012023494
MO
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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