Individual
MR. GARY WARNER NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
ATHLETIC DEPT PACIFIC LUTHERAN UNIVERSITY, TACOMA, WA 98447-0003
(253) 535-7366
Mailing address
906 129TH SREET SOUTH, TACOMA, WA 98444-2213
(253) 537-2344
(253) 535-7584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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