Individual
NINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAT, LAT, ATC
Contact information
Practice address
2126 S FLOYD ST, LOUISVILLE, KY 40208-2751
(985) 237-2860
Mailing address
1172 E BROADWAY UNIT 315, LOUISVILLE, KY 40204-1885
(985) 237-2860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
3894
MA
2255A2300X
Athletic Trainer
Primary
TCA040
KY
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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