Individual
NICOLE WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9115 FERN CREEK RD, LOUISVILLE, KY 40291-2799
(502) 485-8251
Mailing address
4015 SPRING MILL PL, LOUISVILLE, KY 40245-7474
(502) 802-4940
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2791
NC
Other
Enumeration date
10/04/2016
Last updated
08/20/2023
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