Individual
NICOLE MARIE PYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2621 59TH ST S, WISCONSIN RAPIDS, WI 54494-7275
(715) 213-6328
Mailing address
2621 59TH ST S, WISCONSIN RAPIDS, WI 54494-7275
(715) 213-6328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
01/24/2026
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