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Mr. Visvambhara Nicoloff, LMT
Massage Therapist in Alachua, Florida
NPI 1437283066

Visvambhara Nicoloff is a Massage Therapist based in Alachua, FL. Visvambhara Nicoloff practices in Alachua, FL and has the professional credentials of LMT. The NPI Number for Visvambhara Nicoloff is 1437283066 and holds a License No. MA 42906 (Florida).

The current practice location address for Visvambhara Nicoloff is 13700 Us Highway 441, Alachua, FL and can be reached out via phone at 386-418-3869 and via fax at 386-418-3810.

Location: 13700 Us Highway 441, Alachua, FL, 32615-8549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437283066
Provider Name
Visvambhara Nicoloff
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
13700 Us Highway 441, Alachua, FL, 32615-8549
Phone Number
386-418-3869
Fax Number
386-418-3810
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA42906 01 FL MASSAGE LICENSE
institution
Provider Business Practice Location Address Details
Address
13700 Us Highway 441
City
Alachua
State
Florida
Zip
32615-8549
Phone Number
386-418-3869
Fax Number
386-418-3810
person
Provider Business Mailing Address Details
Address
13700 Us Highway 441
City
Alachua
State
Florida
Zip
32615-8549
Phone Number
386-418-3869
Fax Number
386-418-3810
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 42906 (Florida)
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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