Provider Demographics
NPI:1225118862
Name:APPLE, NATHAN DANIEL (MS PT)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:DANIEL
Last Name:APPLE
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:26090 DELROMA DRIVE
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66053
Mailing Address - Country:US
Mailing Address - Phone:913-837-4268
Mailing Address - Fax:
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:916-234-3380
Practice Address - Fax:816-346-1372
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2001027303225100000X
KS11-02888225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist