Individual
MR. NICHOLAS BRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
134 S PEACE HAVEN RD, WINSTON SALEM, NC 27104-4418
(336) 765-5546
Mailing address
155 HIDDEN CREEK RD, WINSTON SALEM, NC 27127-9190
(304) 593-3403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2883
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2883
—
NC
Enumeration date
01/26/2023
Last updated
01/26/2023
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