Individual
BRANDI JOHNSON NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
901 S MULBERRY AVE, BUTLER, AL 36904-2811
(205) 457-3605
Mailing address
310 THORNTON AVE, BUTLER, AL 36904-2337
(205) 457-1239
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1293
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1293
STATE OF ALABAMA BOARD OF ATHLETIC TRAINERS
AL
Enumeration date
09/21/2021
Last updated
09/21/2021
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