Individual
NATHANIEL PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3129 S 450 W, REYNOLDS, IN 47980-8062
(219) 207-0230
Mailing address
3129 S 450 W, REYNOLDS, IN 47980-8062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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