Individual
NICOLE FLEISCHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
201 BROTHERTON LN, FERGUSON, MO 63135-3105
(636) 692-1790
Mailing address
11183 WESTPORT STATION DR APT G, MARYLAND HEIGHTS, MO 63043-4634
(636) 692-1790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2017012233
MO
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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