Search › South Carolina › Athletic Trainer
Nicklas Lidstrom
NPI 1871369603 · on the registry since 2023 · sole proprietor
Practice
- Address
- 925 One Landon Loop
Conway, SC 29528 - Phone
- (843) 349-2825
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-04
- Status
- Not present in the most recent federal file
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 South Carolina