Amanda Marie Nicoles, ATC, LAT
NPI #1730357773 in Chestnut Hill, Massachusetts
Provider Information
- NPI Number
- 1730357773
- Entity Type
- Individual
- Name
- Amanda Marie Nicoles, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Feb 12, 2008
- Last Updated
- Feb 12, 2008
Practice Location
- Address
- 400 HEATH ST
- City
- Chestnut Hill
- State
- Massachusetts
- ZIP Code
- 02467-2332
- Phone
- (617) 731-7057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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