Nicole D Bullock, LBWMT - Mequon, WI

Nicole D Bullock, LBWMT

Massage Therapist in Mequon, Wisconsin

NPI 1023604048

Nicole D Bullock is a Massage Therapist based in Germantown, WI. Nicole D Bullock practices in Mequon, WI and has the professional credentials of LBWMT. The NPI Number for Nicole D Bullock is 1023604048 and holds a License No. 12824-146 (Wisconsin).

The current practice location address for Nicole D Bullock is 10303 N Port Washington Rd Ste 102, Mequon, WI and can be reached out via phone at 262-505-7950.

Location: 10303 N Port Washington Rd Ste 102, Mequon, WI, 53022-2700

NPI Number

1023604048

Provider Name

Nicole D Bullock

Credential

LBWMT

Provider Entity Type

Individual

Gender

Female

Address

10303 N Port Washington Rd Ste 102, Mequon, WI, 53022-2700

Phone Number

262-505-7950

Fax Number

Provider Enumeration Date

12/14/2020

Last Update Date

03/10/2024

Address

10303 N Port Washington Rd Ste 102

City

Mequon

State

Wisconsin

Zip

53092-5760

Phone Number

262-505-7950

Fax Number

Address

10303 N Port Washington Rd Ste 102

City

Mequon

State

Wisconsin

Zip

53092-5760

Phone Number

262-505-7950

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

12824-146 (Wisconsin)

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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