person
Nichole Jean Burgess, LMT
Massage Therapist in Fort Wayne, Indiana
NPI 1447880778

Nichole Jean Burgess is a Massage Therapist based in Fort Wayne, IN. Nichole Jean Burgess practices in Fort Wayne, IN and has the professional credentials of LMT. The NPI Number for Nichole Jean Burgess is 1447880778 and holds a License No. MT22007086 (Indiana).

The current practice location address for Nichole Jean Burgess is 1230 Ruston Pass Ste B, Fort Wayne, IN and can be reached out via phone at 260-797-6100.

Location: 1230 Ruston Pass Ste B, Fort Wayne, IN, 46825-1572
person
Provider Profile Details
NPI Number
1447880778
Provider Name
Nichole Jean Burgess
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1230 Ruston Pass Ste B, Fort Wayne, IN, 46825-1572
Phone Number
260-797-6100
Fax Number
Provider Enumeration Date
01/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1230 Ruston Pass Ste B
City
State
Zip
46825-1572
Phone Number
260-797-6100
Fax Number
person
Provider Business Mailing Address Details
Address
1230 Ruston Pass Ste B
City
State
Zip
46825-1572
Phone Number
260-797-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MT22007086 (Indiana)
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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