Individual
MR. NATHAN WITHINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
216 HOPE ST, PROVIDENCE, RI 02906-2214
(401) 421-8100
Mailing address
98 MAJESTIC AVE, WARWICK, RI 02888-2359
(401) 781-4273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1597
MA
2255A2300X
Athletic Trainer
Primary
AT00166
RI
Other
Enumeration date
04/02/2006
Last updated
07/08/2007
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