Individual provider · NPI-1
Nicholas Ludwig, ATC
Specialist/Technologist, Athletic Trainer · Brighton, MA
NPI number1669848693
StatusActive
Last updated in NPPESAug 13, 2015
Details
- NPI
- 1669848693
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Ludwig
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2015
- Last updated
- Aug 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2775 | MA | Yes |
Practice location
1634 Commonwealth AveApt 19
Brighton, MA 02135-5018
Phone 202-258-8741
Mailing address
1634 Commonwealth AveApt 19
Brighton, MA 02135-5018
Phone 202-258-8741
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.