Individual
CHRISTOPHER NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2801 E BROAD ST, MANSFIELD, TX 76063-9128
(817) 375-5289
Mailing address
6058 COPPERFIELD DR APT 909, FORT WORTH, TX 76132-4807
(516) 424-1756
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6559
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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