Individual
NICHOLE MARIE SOMMERS
Active
Individual
NICHOLE MARIE SOMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1458
ND
2255A2300X
Athletic Trainer
297-05
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568669398
TRIWEST
ND
05
—
51764
—
ND
01
—
P00436245
PGA
ND
Enumeration date
06/27/2007
Last updated
09/14/2010
Update your record
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