Individual
MISS KRISTIN DAWN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
4700 SETON CENTER PKWY, SUITE 175, AUSTIN, TX 78759-5295
(512) 439-1940
(512) 439-1944
Mailing address
12349 METRIC BLVD, APARTMENT 812, AUSTIN, TX 78758-2585
(512) 968-6711
(512) 439-1944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
02/15/2006
Last updated
10/19/2007
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