IndividualActive
Amber Nichols, MS, ATC, PES
NPI 1124248976 · Athletic Trainer · Brockport, NY
Provider details
- NPI number
- 1124248976
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, PES
- Sex
- Female
- Sole proprietor
- Yes
- License
- 001224-1 (NY)
Mailing address
65 Peppermint Dr
Rochester, NY 14615-1242
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.