Individual
SCOTT CRANDALL NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 S MILTON RD, #206, FLAGSTAFF, AZ 86001-7302
(928) 774-8407
Mailing address
901 E CRESTVIEW AVE, FLAGSTAFF, AZ 86001-4759
(928) 853-0937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
MT-030789
AZ
Other
Enumeration date
02/16/2017
Last updated
02/17/2017
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