Individual
NICOLE MARIE CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT, CSCS
Contact information
Practice address
2109 CEDARWOOD DR STE 100, MUSCATINE, IA 52761-2670
(563) 288-6787
Mailing address
850 43RD AVE, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000944
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000944
STATE OF IOWA DEPT OF PUBLIC HEALTH
IA
01
—
2000001771
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
01
—
200938505
CERTIFIED STRENGTH AND CONDITIONING SPECIALIST (NSCA)
—
Enumeration date
02/11/2022
Last updated
02/11/2022
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