Derek Nichols
Derek Nichols is an Athletic Trainer in Alamosa, Colorado. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2016
Practice location Address checks out
117 Poncha AveAlamosa, CO 81101-2166
Phone: (503) 779-9322
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2000018480 (OR) |
|---|
Record details
| NPI number | 1760841621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2016 |
| Last updated in NPPES | February 19, 2016 |
| Mailing address | 117 Poncha Ave, Alamosa, CO 81101 |
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