TIMOTHY NICOLELLO, ATC

ATC

Athletic Trainer

NPI: 1831475284Individual

Specialties, Licenses & Credentials

Other Specialist/Technologist

Specialist/Technologist, Other

Code: 246Z00000X

Athletic TrainerPrimary

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

400(ID)

Contact & Hours

Address: 1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Phone: (208) 874-3449

Quick Facts

NPI: 1831475284
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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