Individual
NICHOLAS BRIGGS-ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
3125 S WOOD BLVD, GOODYEAR, AZ 85338
(315) 723-0512
Mailing address
3125 S WOOD BLVD, GOODYEAR, AZ 85338-6917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL6761
FL
2255A2300X
Athletic Trainer
Primary
ATR-009509
AZ
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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