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Kelly Nickelson, PHYSICAL THERAPIST
NPI 1871780155 · on the registry since 2007
Practice
- Address
- 401 Gaylord Dr
Fulton, MO 65251 - Phone
- (573) 642-8541
- Fax
- (573) 642-8500
- Organisation at this address
- Atlas Physical Therapy & Sports Medicine
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 174400000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-19
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