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KELLY NICKELSON, PHYSICAL THERAPIST
PHYSICAL THERAPIST
NPI: 1871780155IndividualAccepts Medicare
Specialties, Licenses & Credentials
Specialist
Specialist
Code: 174400000X
2002015010(MO)
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
2002015010(MO)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2002
Contact & Hours
- Address
- 401 GAYLORD DR
FULTON, MO 65251 - Phone
- (573) 642-8541
Quick Facts
- NPI
- 1871780155
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 24
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