Philip Ray Nickols
NPI #1407370729 in Macomb, Illinois
Provider Information
- NPI Number
- 1407370729
- Entity Type
- Individual
- Name
- Philip Ray Nickols
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jul 28, 2017
- Last Updated
- Jul 21, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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