Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suzanne M Nickels, PTA

Individual provider Physical Therapy Assistant · NPI 1598963720

Suzanne M Nickels, PTA is a Physical Therapy Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12509 Village Circle Dr
Saint Louis, MO 63127-1701
Phone: (314) 270-7790
Fax: (314) 849-2045
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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 116415 (MO)

Record details

NPI number1598963720
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 10, 2007
Last updated in NPPESJuly 10, 2007

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