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Nicholas Patrick Earley, DPT

Physical Therapist in Lees Summit, MO. Individual provider (NPI-1).

NPI number1164037032
StatusActive
Last updated in NPPESSep 9, 2020

Details

NPI
1164037032
Entity type
Individual (NPI-1)
Name
Nicholas Patrick Earley
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2020
Certification date
Sep 8, 2020
Last updated
Sep 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2020029259MOYes

Practice location

100 Ne Tudor Rd
Lees Summit, MO 64086-4507

Phone 816-554-6003 · Fax 816-554-6013

Mailing address

317 Meadow Chase Dr
Festus, MO 63028-1575

Phone 314-458-4442

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