Individual
NICHOLAS BRADY VERLANIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 694-9359
Mailing address
2533 BUFFALO HORN DR, LAUREL, MT 59044-8319
(406) 694-9359
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-2501
MT
Other
Enumeration date
07/22/2020
Last updated
06/23/2022
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