Individual
NICOLE KINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 573-1037
Mailing address
15209 ROEDEAN DR, NOBLESVILLE, IN 46060-4790
(765) 635-9077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002873A
IN
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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