NATHANIAL JAMES CARLSON

INDEPENDENCE, MO
NPI1700132321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2012023494)
Enumeration Date2012-08-01
Last Update Date2012-08-01
Business Address
-- NATHANIAL JAMES CARLSON DPT
3801 SELSA RD SUITE 7
INDEPENDENCE, MO 64057-1705
Phone number: 816-795-0434
Mailing Address
-- NATHANIAL JAMES CARLSON DPT
3361 SW SENSATION DR APARTMENT 931
LEES SUMMIT, MO 64081-7800
Phone number: