Individual
MR. NICHOLAS HOLTGRIEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1221 S. CLEARVIEW PARKWAY, JEFFERSON, LA 70121
(504) 280-3306
Mailing address
15010 E 49TH ST, KANSAS CITY, MO 64136-1334
(816) 838-0879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT652
AR
2255A2300X
Athletic Trainer
Primary
ATH.200496
LA
Other
Enumeration date
02/23/2015
Last updated
04/19/2016
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