Individual
NICHOLAS R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
216 ANAMARIA DR, RAPID CITY, SD 57701-7366
(605) 721-4700
Mailing address
20104 BEAR BUTTE RD, WHITEWOOD, SD 57793-6423
(605) 569-1495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
05/20/2025
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