Individual
CARL TYLER NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2127 MAGNOLIA DR, LEAVENWORTH, KS 66048-7732
(844) 536-9449
Mailing address
2127 MAGNOLIA DR, LEAVENWORTH, KS 66048-7732
(913) 683-9344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06121
KS
225100000X
Physical Therapist
2019023330
MO
Other
Enumeration date
05/04/2021
Last updated
05/28/2022
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