Shirley Dianne Nicks CMT

NPI 1457595639 - Massage Therapist - 225700000X

NPI Details
NPI 1457595639
Gender Female
Enumeration Date 05/01/2009
Last Updated 05/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
8450 BUTTS CANYON ROAD
POPE VALLEY CA, 94567, US
Phone (707) 965-9242
Fax (707) 965-9242
Business Location
8450 BUTTS CANYON ROAD
PO BOX 146
POPE VALLEY CA, 94567, US
Phone (707) 965-9242
Fax (707) 965-9242
Toxanomy
Taxonomy Code 225700000X
License State
License Number
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According to our database, Shirley Dianne Nicks CMT NPI is 1457595639, taxonomy code is 225700000X Shirley Dianne Nicks CMT physically located at 8450 Butts Canyon Road, Pope Valley CA, 94567. NPI Number Shirley Dianne Nicks CMT has the Individual type.

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1457595639 NPI number is provided on an as is basis without warranty of any kind. 1457595639 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley Dianne Nicks CMT are for informational purposes only.