Individual
NATHAN DAVIDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
220 LAKEVIEW DR, NOBLESVILLE, IN 46060-1210
(317) 776-1061
Mailing address
9152 HADWAY DR, INDIANAPOLIS, IN 46256-1068
(317) 605-0078
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003172A
IN
Other
Enumeration date
01/07/2017
Last updated
07/23/2019
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