Individual
GABRIELLA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
26511 W 109TH ST, OLATHE, KS 66061-9343
(913) 475-2560
Mailing address
26511 W 109TH ST, OLATHE, KS 66061-9343
(913) 475-2560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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