Individual
NICHOLAS ELY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, AT/L
Contact information
Practice address
505 E 3RD AVE, SUITE B, SPOKANE, WA 99202-1426
(509) 995-1573
Mailing address
5420 W BARNES RD, #E334, SPOKANE, WA 99208-7027
(509) 995-1573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
08/12/2007
Last updated
05/12/2011
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