NPI 1174649032

Steven Nicholson

Practitioner Physical Therapist Osage Beach, MO

Practice location

Address: 54 Hospital Dr Physical Therapy Dept., Osage Beach, MO 65065-3050
Phone: (573) 302-2330
Mailing address: 20314 Timberlake Village Unit 641, Rocky Mount, MO 65072

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2005009930 (MO)

Other Physical Therapist providers in Missouri →

Registry record

NPI: 1174649032
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2007
Record last updated: 8 Jul 2007

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.