MRS. Leah Dawn Nickell, A.T.C., L.A.T.

NPI #1164548293 in La Vernia, Texas

Provider Information

NPI Number
1164548293
Entity Type
Individual
Name
MRS. Leah Dawn Nickell, A.T.C., L.A.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
A.T.C., L.A.T.
Enumeration Date
Mar 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
225 FM 775
State
Texas
ZIP Code
78121-9554
Phone
(830) 779-2181

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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