Nicklas Lidstrom
NPI 1871369603 · Athletic Trainer · Conway, SC
Nicklas Lidstrom is a Athletic Trainer provider in Conway, SC (NPI 1871369603).
Provider details
- NPI number
- 1871369603
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT03472 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-06-23
Frequently asked questions
- What is Nicklas Lidstrom's NPI number?
- Nicklas Lidstrom's National Provider Identifier (NPI) is 1871369603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicklas Lidstrom's specialty?
- Nicklas Lidstrom is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicklas Lidstrom located?
- Nicklas Lidstrom's practice location on file with NPPES is 925 One Landon Loop, Conway, SC 29528.
- What is Nicklas Lidstrom's phone number?
- The practice phone number listed in the NPPES registry for Nicklas Lidstrom is (843) 349-2825.
- Is Nicklas Lidstrom's NPI active?
- Yes — Nicklas Lidstrom's NPI (1871369603) is active in the NPPES registry as of the last update on 2023-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.