Individual
NICHOLAS NAKAGAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 298-2495
(801) 298-2801
Mailing address
262 E ELLEN LN, NORTH SALT LAKE, UT 84054-2304
(801) 541-2130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7786912-4810
UT
Other
Enumeration date
10/31/2011
Last updated
10/03/2022
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