Individual provider · NPI-1

Nijeil Anthony, ATC

Specialist/Technologist, Athletic Trainer · Indianapolis, IN

NPI number1679193452
StatusActive
Last updated in NPPESApr 28, 2020

Details

NPI
1679193452
Entity type
Individual (NPI-1)
Name
Nijeil Anthony
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2020
Certification date
Apr 28, 2020
Last updated
Apr 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer36001861AINYes

Practice location

1140 Dr Martin Luther King Jr St
Indianapolis, IN 46202-2221

Phone 317-226-2800

Mailing address

714 N Senate Ave Ste 200
Indianapolis, IN 46202-3297

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