Nicklas Lidstrom
Nicklas Lidstrom is an Athletic Trainer in Conway, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2023
Practice location Address checks out
925 One Landon LoopConway, SC 29528
Phone: (843) 349-2825
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 AT03472 (SC) |
|---|
Record details
| NPI number | 1871369603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2023 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | June 23, 2023 |
| Mailing address | 111 Village Center Blvd Unit 2210, Myrtle Beach, SC 29579-6719 |
Other providers in Conway
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William Houck
925 One Landon Loop, Conway, SC 29526 · (312) 622-2677
-
Tatum Alyssa Hubbard, ATC
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-
Alexandra Johnson
2301 Church St, Conway, SC 29526-2975 · (843) 488-0662
-
Madison Lynn Johnston
104 Founders Dr, Conway, SC 29526-8658 · (843) 349-2920
-
Mr. Andrew Lowe, MAT, ATC, LAT
925 One Landon Loop, Conway, SC 29526 · (269) 929-5315
-
Miss. Andressa Oliveira Martins, ATC
935 One Landon Loop Coastal Carolina University, Conway, SC 29526 · (843) 349-2823
-
Christopher Nwanegwo, ATC, SCAT
102 Lynn Ct, Conway, SC 29526-8827 · (843) 333-4628
-
Jeffrey Pounds, ATC
107 Tom Trout Dr Wb 106 Coastal Carolina University, Conway, SC 29528 · (843) 349-2725