Individual
MR. MATTHEW ALAN NICOLAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
437 N 1ST ST, CLARKSVILLE, TN 37040-3205
(810) 341-3811
Mailing address
8441 NOBLET RD, DAVISON, MI 48423-8713
(810) 341-3811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2412
TN
Other
Enumeration date
09/11/2016
Last updated
11/06/2018
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