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NPI Code Detail

MEDICARE: DR. NICOLE KAES DPT

MEDICARE: DR. NICOLE KAES DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1871284984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE KAES DPT
Provider Business Mailing Address
First Line : 4104 W LE BARON AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-8943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9005 S PECOS RD STE 2520
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7191
Country : US
Telephone Number : 702-818-5000
Fax Number : 702-818-5001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2023
Last Update Date : 06/04/2025

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Directions to “ DR. NICOLE KAES DPT” Practice Location

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