Casey L Nicole, MS, ATC
NPI #1407818818 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1407818818
- Entity Type
- Individual
- Name
- Casey L Nicole, MS, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC
- Enumeration Date
- Apr 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 350 MAIN ST NW
- Address 2
- UNIT B
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-2383
- Phone
- (815) 936-1855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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