SearchMissouri235Z00000X

Brett Nickisch, MA, CCC-SLP

NPI 1467840090 · on the registry since 2015 · sole proprietor

Practice

Address
724 Ne 79th Ter
Kansas City, MO 64118
Phone
(816) 797-5415
Organisation at this address
Pchn, Llc
Northeast Leasing Co., Llc
White Oaks Nursing & Rehabilitation Center Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-06

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