Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS SPENCER, OTR/L
Active Sole ProprietorNICHOLAS SPENCER, OTR/L is a Emotionally Disturbed Children Residential Treatment healthcare provider located in GATEWOOD, Missouri. NPI 1740743459 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · GATEWOOD, MO
Registration Details
- NPI Number
- 1740743459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2019 (7.3645275087323 yrs)
- Last Updated
- Jun 4, 2024
- License
-
2018031484 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3570 RIPLEY EE-2GATEWOOD, MO, 639429034Browse MO providers · Browse ZIP 63942
- Phone
- 5732553347
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.