Individual
SHAYNA NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC
Contact information
Practice address
3406 ENFIELD AVE NW, CANTON, OH 44708-1740
(330) 224-3199
Mailing address
3406 ENFIELD AVE NW, CANTON, OH 44708-1740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003176
OH
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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