Individual
NICOLE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 W JEFFERSON, NORTHEAST REGIONAL MEDICAL CENTER, KIRKSVILLE, MO 63501
(660) 785-1834
Mailing address
39 GRIM PL, KIRKSVILLE, MO 63501-4438
(660) 341-6056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2003016375
MO
Other
Enumeration date
03/29/2006
Last updated
12/29/2016
About Stedi
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