Philip Ray Nickols
Philip Ray Nickols is an Athletic Trainer in Macomb, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
1 University CirMacomb, IL 61455
Phone: (309) 298-2138
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 096.003810 (IL) |
|---|
Record details
| NPI number | 1407370729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 28, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 1 University Cir, Macomb, IL 61455-1367 |
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