Nicole Danielle Jackson, MS, ATC, CSCS
NPI #1255592754 in Lacey, Washington
Provider Information
- NPI Number
- 1255592754
- Entity Type
- Individual
- Name
- Nicole Danielle Jackson, MS, ATC, CSCS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC, CSCS
- Enumeration Date
- Jun 18, 2008
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 5300 PACIFIC AVE SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-7500
- Phone
- (360) 438-4536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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