IndividualActive
Nicole Ackermann, ATC/ LAT ITAT
NPI 1336503044 · Athletic Trainer · Newcastle, WY
Provider details
- NPI number
- 1336503044
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC/ LAT ITAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 64 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
116 Casper Ave
Newcastle, WY 82701-2705
Phone: (307) 746-2713
Approximate (ZIP-level) locationGet directions
Mailing address
116 Casper Ave
Newcastle, WY 82701-2705
Registry dates
- Enumerated
- 2016-04-08
- Last updated
- 2016-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.