Individual
NICHOLAS ALEXANDER HORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 549-2431
Mailing address
4150 PEBBLE RIDGE CIR, APT 32, COLORADO SPRINGS, CO 80906-6506
(512) 466-7234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1005
CO
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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