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Nikki Negrete, ATC

Specialist/Technologist, Athletic Trainer in Burbank, IL. Individual provider (NPI-1).

NPI number1710426465
StatusActive
Last updated in NPPESMay 9, 2020

Details

NPI
1710426465
Entity type
Individual (NPI-1)
Name
Nikki Negrete
Credential
ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 14, 2017
Certification date
May 9, 2020
Last updated
May 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer096.005124ILYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

8520 S. Leclaire Ave.
Burbank, IL 60459

Phone 708-963-7631

Mailing address

8520 Leclaire Ave
Burbank, IL 60459-2845

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