Individual
MRS. TINA MARIE NESTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1629 S 4 3/4 MILE RD, MIDLAND, MI 48640-8311
(989) 631-5553
Mailing address
1629 S 4 3/4 MILE RD, MIDLAND, MI 48640-8311
(989) 631-5553
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000494
MI
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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