Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP RAY NICKOLS
ActivePHILIP RAY NICKOLS is a Athletic Trainer healthcare provider located in MACOMB, Illinois. NPI 1407370729 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MACOMB, IL
Registration Details
- NPI Number
- 1407370729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2017 (9.0219480794698 yrs)
- Last Updated
- Jul 21, 2022
- License
-
096.003810 (IL)
Practice Information
- Address
-
1 UNIVERSITY CIRMACOMB, IL, 61455Browse IL providers · Browse ZIP 61455
- Phone
- 3092982138
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| RENEE L POLUBINSKY | ATC, CSCS | 1134193691 |
| JENNIFER M PLOS | ATC | 1376511949 |
| MR. KELLY JAY MCBRIDE | ATC/L | 1467412452 |
| MICHAEL PATRICK PENDERGAST SR. | ATC | 1275598161 |
| MISS AMY BECKMAN | MS, ATC, CSCS | 1730116591 |
| MR. CHAD C CERULLO | MS, LAT, ATC | 1932252319 |
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.