Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS MENIETTTI, ATC
Active Sole ProprietorNICHOLAS MENIETTTI, ATC is a Athletic Trainer healthcare provider located in FAIRBANKS, Alaska. NPI 1831541184 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FAIRBANKS, AK
Registration Details
- NPI Number
- 1831541184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2016 (10.051570321545 yrs)
- Last Updated
- Nov 2, 2016
- Licenses
-
096003696 (IL)RTO000174 (PA)116052 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1725 UNIVERSITY AVE SAPT D45FAIRBANKS, AK, 997094932Browse AK providers · Browse ZIP 99709
- Phone
- 6189720274
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| JIM R KIMBAL | ATC, LAT, LMT, CSCS | 1114985322 |
| MS. HEIDI JEAN RITCHIE | ATC | 1164546099 |
| JEREMY SCOTT LINDGREN | ATC | 1275805707 |
| ANDREA KAY HARRIS | ATC | 1598021651 |
| DAVID BOYD | ATC | 1124405618 |
| KEI FLECHSING | — | 1043720550 |
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.