Individual
NICOLE LEIGH WALKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1000 S 70TH ST, LINCOLN, NE 68510-4217
(402) 436-1302
Mailing address
8234 ROCKLEDGE RD APT 107, LINCOLN, NE 68506-7351
(402) 745-0144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
680
NE
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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