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Nichole Rae Douglas, LMT
Massage Therapist in Batavia, New York
NPI 1417265984

Nichole Rae Douglas is a Massage Therapist based in Le Roy, NY. Nichole Rae Douglas practices in Batavia, NY and has the professional credentials of LMT. The NPI Number for Nichole Rae Douglas is 1417265984 and holds a License No. 021525 (New York).

The current practice location address for Nichole Rae Douglas is 154 Pearl St, Batavia, NY and can be reached out via phone at 585-813-6993.

Location: 154 Pearl St, Batavia, NY, 14482-1331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417265984
Provider Name
Nichole Rae Douglas
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
154 Pearl St, Batavia, NY, 14482-1331
Phone Number
585-813-6993
Fax Number
Provider Enumeration Date
09/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
154 Pearl St
City
Batavia
State
New York
Zip
14020-2914
Phone Number
585-813-6993
Fax Number
person
Provider Business Mailing Address Details
Address
154 Pearl St
City
Batavia
State
New York
Zip
14020-2914
Phone Number
585-813-6993
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
021525 (New York)
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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