Individual
KATELYN NICOLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
NORTH DAKOTA STATE UNIVERSITY, 1340 ADMINISTRATION AVE, FARGO, ND 58108
(701) 231-5777
Mailing address
PO BOX 6050, FARGO, ND 58108-6050
(701) 231-5777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2684
MA
Other
Enumeration date
10/31/2014
Last updated
09/14/2021
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