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Mr. Nicholas Pernell Vines SR.
Massage Therapist in Montgomery, Alabama
NPI 1174141428

Nicholas Pernell Vines SR. is a Massage Therapist based in Montgomery, AL. Nicholas Pernell Vines SR. practices in Montgomery, AL. The NPI Number for Nicholas Pernell Vines SR. is 1174141428 and holds a License No. 5521 (Alabama).

The current practice location address for Nicholas Pernell Vines SR. is 2201 Sagewood Dr, Montgomery, AL and can be reached out via phone at 334-676-2414.

Location: 2201 Sagewood Dr, Montgomery, AL, 36117-2428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174141428
Provider Name
Nicholas Pernell Vines SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2201 Sagewood Dr, Montgomery, AL, 36117-2428
Phone Number
334-676-2414
Fax Number
Provider Enumeration Date
07/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 Sagewood Dr
City
Montgomery
State
Alabama
Zip
36117-2428
Phone Number
334-676-2414
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Sagewood Dr
City
Montgomery
State
Alabama
Zip
36117-2428
Phone Number
334-676-2414
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
5521 (Alabama)
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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