Individual
NICOLE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
8855 SUGAR CAY CT, ZIONSVILLE, IN 46077-2911
(317) 344-2527
Mailing address
8855 SUGAR CAY CT, ZIONSVILLE, IN 46077-2911
(317) 344-2527
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000318A
IN
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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