Nicolas Chace Anderson Valid NPI

Individual provider · Athletic Trainer · Hill Air Force Base, UT

NPI

1073915864

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

13633961-4810 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2014-09-23

Last updated

2026-06-09