Nicole M Edwards, ATC, LAT

NPI #1265897821 in Oshkosh, Wisconsin

Provider Information

NPI Number
1265897821
Entity Type
Individual
Name
Nicole M Edwards, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Dec 28, 2015
Last Updated
May 3, 2021

Practice Location

Address
2700 W 9TH AVE
Address 2
SUITE 125
ZIP Code
54904-7247
Phone
(920) 223-0636

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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