Nickalas Boulware
Nickalas Boulware is a Physical Therapy Assistant in Independence, Kansas. Licensed in Kansas. Registered with an NPI since 2026.
- Licensed in
- KS
- In the registry since
- 2026
Practice location Address checks out
118 W Main StIndependence, KS 67301-3511
Phone: (620) 331-0999
Fax: (620) 331-1065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence CP055561A (KS) |
|---|
Record details
| NPI number | 1760317804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 17, 2026 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |
| Mailing address | 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 |
Other providers in Independence
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Misti Blair, PTA
118 W Main St, Independence, KS 67301-3511 · (620) 331-0999
-
Shaeli Breanne Cargile, PTA
118 W Main St, Independence, KS 67301-3511 · (620) 331-0999
-
Sandra R Cook, PTA
118 W Main St, Independence, KS 67301-3511 · (620) 331-0999
-
Sara Daugherty
118 W Main St, Independence, KS 67301-3511 · (620) 331-0999
-
Lorinda Joy Dodsworth
118 W Main St, Independence, KS 67301-3511 · (620) 331-0999