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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NIKOLE DECKER SQUIRES, LAT, ATC, CPT

Active Sole Proprietor

NIKOLE DECKER SQUIRES, LAT, ATC, CPT is a Athletic Trainer healthcare provider located in HIGHLAND, Utah. NPI 1215493838 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · HIGHLAND, UT

Registration Details

NPI Number
1215493838
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2019 (7.2934710473967 yrs)
Last Updated
Feb 19, 2019
Licenses
10877423-4810 (UT)
10877423-4810 (UT)
TBA (UT)
10877423-4810 (UT)
Sole Proprietor
Yes

Practice Information

Address
6748 W 9500 N
HIGHLAND, UT, 840033455
Browse UT providers · Browse ZIP 84003
Phone
4803183949
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
2083S0010X
Additional Specialty
405300000X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in HIGHLAND, UT

Name Credential NPI
TIFFANY CARTER ATC 1487040069
LUCAS ALEXANDER BRYAN 1598289274
SHELBY JEANNE DEUEL 1821704784
BRADLEY MILLER ATC, LAT 1336903681
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.