Individual
MISS NICOLE RAWLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1327 TROUP HWY, TYLER, TX 75701-4443
(417) 214-1010
Mailing address
5348 OLD JACKSONVILLE HWY APT 1318, TYLER, TX 75703-3367
(417) 214-1010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5645
TX
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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