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Tad Nickerson, ATC
NPI 1336498369 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1096 Oakton Mews
Virginia Beach, VA 23464 - Phone
- (757) 581-8112
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia