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

NICOLE MARIE DIETRICH, ATC

Active Sole Proprietor

NICOLE MARIE DIETRICH, ATC is a Athletic Trainer healthcare provider located in SHIPPENSBURG, Pennsylvania. NPI 1568536662 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SHIPPENSBURG, PA

Registration Details

NPI Number
1568536662
Provider Type
Individual
Gender
Female
NPI Issued
Nov 20, 2006 (19.691746944756 yrs)
Last Updated
Jul 8, 2007
License
RT003667 (PA)
Sole Proprietor
Yes

Practice Information

Address
6 E KING ST APT 1
SHIPPENSBURG, PA, 172571343
Browse PA providers · Browse ZIP 17257
Phone
7174912920
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SHIPPENSBURG, PA

Name Credential NPI
MR. WESLEY R. MALLICONE MS, ATC 1841287430
THOMAS EDWARD HORST ATC 1851335947
VINCENT AMIGH ATC 1528095221
TANYA LOUISE MILLER MS, LAT, ATC, CES 1902834112
MR. JOSEPH JAMES THEIS ATC 1982786398
REBECCA SUE FITZ ATC 1245364827
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.