Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Nichols

Individual provider Athletic Trainer · NPI 1760841621

Derek Nichols is an Athletic Trainer in Alamosa, Colorado. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

117 Poncha Ave
Alamosa, CO 81101-2166
Phone: (503) 779-9322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000018480 (OR)

Record details

NPI number1760841621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2016
Last updated in NPPESFebruary 19, 2016

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