Individual
ELIZABETH NICKLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LAT CSCS
Contact information
Practice address
700 COLLEGE DR, LUTHER COLLEGE, DECORAH, IA 52101-1041
(563) 387-2170
Mailing address
700 COLLEGE DR, LUTHER COLLEGE, DECORAH, IA 52101-1041
(563) 387-2170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00517
IA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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