National Provider Identifier
Nicholas Lee Pearson, LAT, ATC
Nicholas Lee Pearson, LAT, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Jamestown, NY and a listed phone number of (309) 236-5258.
Profile Overview
- NPI
- 1558885236
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- August 03, 2017
- Last Updated
- December 04, 2019
Practice Location
- 319 W 3Rd St
- Jamestown, NY 14701-4933
Phone: (309) 236-5258
Mailing Address
- 609 Lakeview Ave Apt 1
- Jamestown, NY 14701-3131
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1558885236
- Entity Type
- Individual
- Last Name
- Pearson
- First Name
- Nicholas
- Middle Name
- Lee
- Credential
- LAT, ATC
- Mailing Street Address
- 609 Lakeview Ave Apt 1
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-3131
- Mailing Country
- US
- Mailing Phone
- (309) 236-5258
- Practice Street Address
- 319 W 3Rd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-4933
- Practice Country
- US
- Practice Phone
- (309) 236-5258
- Enumeration Date
- August 03, 2017
- Last Updated
- December 04, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)