Individual provider · Type 1 NPI
Kylee Rai Nickerson
Speech-Language Assistant · Queen Creek, AZ
NPI number
1679852081
Active
Practice location
21408 East Creosote Lane
Queen Creek, AZ 85142
Mailing address
21408 E Creosote Ln
Queen Creek, AZ 85142-9330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SLPA7369 (AZ) |
Speech-Language Assistant: Definition to come...
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About NPI 1679852081
Kylee Rai Nickerson's National Provider Identifier is 1679852081, issued on Aug 16, 2011. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Queen Creek, AZ. The record was last updated on Aug 16, 2011.