PHILIP NICKOLS
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1407370729
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 096.003810 (IL) |
Frequently Asked Questions
NPI 1407370729 is the National Provider Identifier for PHILIP NICKOLS, a Specialist/Technologist - Athletic Trainer provider located in Macomb, IL. This NPI was enumerated on July 28, 2017.
PHILIP NICKOLS practices at 1 UNIVERSITY CIR, Macomb, IL 61455.
Quick Facts
- NPI
- 1407370729
- Type
- Individual
- Enumerated
- Jul 28, 2017
- Last Updated
- Jul 21, 2022
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