Nickalas Boulware

Physical Therapist Assistant


 118 W Main St, Independence
    Kansas, 67301-3511

  620-331-0999    620-331-1065   Maps & Directions
Nickalas Boulware is a Independence, Kansas based pta who is specialized as Physical Therapist Assistant. Active license number of Nickalas Boulware as Physical Therapist Assistant is CP055561A in Kansas.
Nickalas Boulware is an individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. He help patients to follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist.
Complete Profile:
Nickalas Boulware speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Physical Therapy Assistant
Gender:Male
Practice Address:118 W Main St, Independence,
Kansas, 67301-3511
Phone:620-331-0999
Fax:620-331-1065
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1760317804
NPI Enumeration Date: 17 Jun, 2026
NPI Last Update On: 17 Jun, 2026
Medical Licenses:
PTA's can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nickalas Boulware are as mentioned below.
License NumberSpecializationStateStatus
CP055561APhysical Therapist Assistant KansasPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1650 Lyndon Farm Ct Ste 300,
Louisville, Kentucky
Zip: 40223-5005
Phone Number: --
Fax Number: --
Patients can reach Nickalas Boulware at 118 W Main St, Independence, Kansas or can call to book an appointment on 620-331-0999.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.