Individual
NICHOLAS KEITH RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
MEN'S BASKETBALL OFFICE, 534 BIRCH RD. SUITE 150, EAST LANSING, MI 48824-4882
(517) 256-8960
Mailing address
1042 ALEXANDRIA DR, LANSING, MI 48917-4803
(517) 256-8960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001787
MI
Other
Enumeration date
02/28/2007
Last updated
01/31/2024
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