Individual
MRS. CANDISE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6505 E 37TH ST N, WICHITA, KS 67226-3232
(316) 854-2330
(316) 681-0600
Mailing address
6505 E 37TH ST N, WICHITA, KS 67226-3232
(316) 854-2330
(316) 681-0600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05492
KS
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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