Individual
MISS KRICKET ELISSA NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
957 BECKS KNOB RD, LANCASTER, OH 43130-8800
(740) 654-2634
Mailing address
550 W FRONTAGE RD, SUITE 2415, NORTHFIELD, IL 60093-1202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.07681
OH
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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