NPI 1003639725

Nicholas Louis Hennicke

Practitioner Physical Therapist Saint Louis, MO

Practice location

Address: 10199 Woodfield Ln, Saint Louis, MO 63132-2922
Phone: (877) 407-3422
Mailing address: 7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2012023539 (MO)

Other Physical Therapist providers in Missouri →

Registry record

NPI: 1003639725
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2024
Record last updated: 24 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.