Individual
TERESA NICOLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2826 S UNIVERSITY PARKS DR APT 534, WACO, TX 76706-6564
(715) 797-1116
Mailing address
2826 S UNIVERSITY PARKS DR APT 534, WACO, TX 76706-6564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7227
TX
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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