Individual
JAMIE NIKANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(360) 324-2660
Mailing address
2705 SIBLEY AVE, TERRE HAUTE, IN 47803-1257
(360) 324-2660
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002426A
IN
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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