Amanda M Nicoles, ATC, LAT
Specialist/Technologist, Athletic Trainer in Chestnut Hill, Massachusetts
1730357773- Practice location
- 400 Heath St, Chestnut Hill, MA 02467-2332
- Phone
- 617-731-7057
- Fax
- 617-731-7035
- Last updated
- February 12, 2008
Amanda Marie Nicoles is a Specialist/Technologist, Athletic Trainer based in Chestnut Hill, MA. Amanda Marie Nicoles practices in Chestnut Hill, MA and has the professional credentials of ATC, LAT. The NPI Number for Amanda Marie Nicoles is 1730357773 and holds a License No. 1614 (MA). The current practice location address for Amanda Marie Nicoles is 400 Heath St, Chestnut Hill, MA 02467-2332 and can be reached out via phone at 617-731-7057 and via fax at 617-731-7035.
Provider Profile Details
- NPI Number
- 1730357773
- Provider Name
- Amanda Marie Nicoles
- Credential
- ATC, LAT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 Heath St, Chestnut Hill, MA 02467-2332
- Phone Number
- 617-731-7057
- Fax Number
- 617-731-7035
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 12, 2008
- Last Update Date
- February 12, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Heath St
Chestnut Hill, MA 02467-2332 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467-2332
- Phone Number
- 617-731-7057
- Fax Number
- 617-731-7035
Provider Business Mailing Address Details
- Address
- 400 Heath St
Chestnut Hill, MA 02467-2332 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-2332
- Phone Number
- 617-731-7057
- Fax Number
- 617-731-7035
License Information
- License Number
- 1614
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda M Nicoles, ATC, LAT?
The NPI number of Amanda M Nicoles, ATC, LAT is 1730357773. It was assigned on February 12, 2008 and is currently active in the NPPES registry.
What is the specialty of Amanda M Nicoles, ATC, LAT?
Amanda M Nicoles, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1614.
Where does Amanda M Nicoles, ATC, LAT practice?
The practice location is 400 Heath St, Chestnut Hill, MA 02467-2332. The office can be reached at 617-731-7057 (phone) or 617-731-7035 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730357773 directly on the NPPES registry website.