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

NICHOLAS PETERS, ATC, AT, M.ED

Active Sole Proprietor

NICHOLAS PETERS, ATC, AT, M.ED is a Athletic Trainer healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1588022842 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT CAMPBELL, KY

Registration Details

NPI Number
1588022842
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2016 (10.487666260278 yrs)
Last Updated
Dec 27, 2023
Licenses
319272 (TN)
2601001929 (MI)
Sole Proprietor
Yes

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
9892252274
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in FORT CAMPBELL, KY

Name Credential NPI
MS. MARGARET THERESE BARTON MS, ATC, PES 1245293208
MR. PAUL R MUSGROVE ATC/L, CSCS 1720167984
APRIL M EVANS ATC 1821254962
LAURA ANNE HORSLEY ATC 1124387121
MICHELLE FASANO AT, ATC 1063757219
SAMANTHA AMUNDSON LAT, ATC 1831571231
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.