Individual
DR. NICOLE MARIE EASTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC, LAT
Contact information
Practice address
1105 SUNSET AVE, MANHATTAN, KS 66502-3739
(810) 580-9139
Mailing address
1105 SUNSET AVE, MANHATTAN, KS 66502-3739
(810) 580-9139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00832
KS
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/21/2015
Last updated
09/06/2024
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