Individual
CHRISTOPHER VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS
Contact information
Practice address
2125 N LAKE AVE, LAKELAND, FL 33805
(612) 296-6588
Mailing address
4632 COLFAX AVE S, MINNEAPOLIS, MN 55419
(612) 296-6588
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1023
CT
2255A2300X
Athletic Trainer
2259
MN
2255A2300X
Athletic Trainer
Primary
AL3804
FL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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