Kelsey Nieckoski
Physical Therapist - Orthopedic
120 E Lancaster Ave Ste 205
Ardmore
, Pennsylvania 19003-3209
Kelsey Nieckoski
Physical Therapist - Orthopedic
120 E Lancaster Ave Ste 205
Ardmore
, Pennsylvania 19003-3209
(610) 270-0370
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Kelsey Nieckoski
- 475 Allendale Rd Ste 206
- King Of Prussia, PA
- Zip : 19406-1495
- Phone : (610) 270-0370
Second Address
- Kelsey Nieckoski
- 120 E Lancaster Ave Ste 205
- Ardmore, PA
- Zip : 19003-3209
- Phone : (484) 297-6491
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT030005 | PA |
National Provider Identifier
| NPI | 1083370035 |
|---|---|
| Provider Name | Kelsey Nieckoski |
| First Address | King Of Prussia, PA 19406-1495 |
| Second Address | Ardmore, PA 19003-3209 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2021 |
| Last Update Date | 15/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.