NICOLE LYNNE SORDELLO
NPI 1639661945
Specialist/Technologist - Athletic Trainer in Moscow, ID

Active since June 01, 2018
875 PERIMETER DR # MS 2401, MOSCOW, ID 83844(209) 401-7964 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Lynne Sordello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LYNNE SORDELLO (NPI 1639661945) is an individual athletic trainer provider in Moscow, Idaho and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1639661945
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameNICOLE LYNNE SORDELLO
Location Address875 PERIMETER DR # MS 2401Moscow, ID 83844-9803
Mailing Address5690 California AveTracy, CA 95304-9414 · (209) 401-7964
Sole ProprietorYes
Enumeration DateJune 1, 2018
NPI 1639661945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

875 PERIMETER DR # MS 2401, Moscow, ID 83844

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639661945, enumerated as an "individual" on June 01, 2018.

The provider is located at 875 PERIMETER DR # MS 2401 MOSCOW, ID 83844 and the phone number is (209) 401-7964.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.