SearchMissouriPhysical Therapy Assistant

Josh Nickell

NPI 1336524404 · on the registry since 2015

Practice

Address
3105 Bluff Creek Dr
Columbia, MO 65201
Phone
(573) 442-6060
Organisation at this address
Boone County Senior Citizen Service Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri