Individual
DR. NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
5601 NE ANTIOCH RD, STE 7, GLADSTONE, MO 64119-2300
(816) 452-4488
Mailing address
5601 NE ANTIOCH RD, STE 7, GLADSTONE, MO 64119-2300
(816) 452-4488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04570
KS
225100000X
Physical Therapist
Primary
2013022080
MO
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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