Individual
NICOLE ACKERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/ LAT ITAT
Contact information
Practice address
116 CASPER AVE, NEWCASTLE, WY 82701-2705
(307) 746-2713
Mailing address
116 CASPER AVE, NEWCASTLE, WY 82701-2705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
64
WY
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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