Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Steven Nicolello, ATC

Individual provider Other Specialist/Technologist · NPI 1831475284

Timothy Steven Nicolello, ATC is an Other Specialist/Technologist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1109 W Myrtle St Ste 200
Boise, ID 83702-6970
Phone: (208) 874-3449
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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 400 (ID)
Other Specialist/Technologist Taxonomy 246Z00000X (ID)

Record details

NPI number1831475284
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 31, 2011
Last updated in NPPESApril 2, 2012

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