Teresa Nicolet
Specialist/Technologist, Athletic Trainer in Waco, TX. Individual provider (NPI-1).
NPI number1083178842
StatusActive
Last updated in NPPESJan 25, 2019
Details
- NPI
- 1083178842
- Entity type
- Individual (NPI-1)
- Name
- Teresa Nicolet
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2019
- Last updated
- Jan 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT7227 | TX | Yes |
Practice location
2826 S University Parks Dr Apt 534Waco, TX 76706-6564
Phone 715-797-1116
Mailing address
2826 S University Parks Dr Apt 534Waco, TX 76706-6564
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