NICOLE KATHLEEN PETERSON

KANSAS CITY, MO
NPI1942390851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2006024538)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
-- NICOLE KATHLEEN PETERSON PTA
1000 CARONDELET DR
KANSAS CITY, MO 64114-4673
Phone number: 816-943-4545
Mailing Address
-- NICOLE KATHLEEN PETERSON PTA
6362 COLLEGE BLVD
OVERLAND PARK, KS 66211-1506
Phone number: 913-663-2555