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Mr. Stephen G Nicholson JR.
Massage Therapist in Tallahassee, Florida
NPI 1861100596

Stephen G Nicholson JR. is a Massage Therapist based in Tallahassee, FL. Stephen G Nicholson JR. practices in Tallahassee, FL. The NPI Number for Stephen G Nicholson JR. is 1861100596 and holds a License No. 66563 (Florida).

The current practice location address for Stephen G Nicholson JR. is 1138 E Tennessee St, Tallahassee, FL and can be reached out via phone at 850-509-2311.

Location: 1138 E Tennessee St, Tallahassee, FL, 32311-5209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861100596
Provider Name
Stephen G Nicholson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1138 E Tennessee St, Tallahassee, FL, 32311-5209
Phone Number
850-509-2311
Fax Number
Provider Enumeration Date
11/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45785357 05 FL
institution
Provider Business Practice Location Address Details
Address
1138 E Tennessee St
City
Tallahassee
State
Florida
Zip
32308-6912
Phone Number
850-509-2311
Fax Number
person
Provider Business Mailing Address Details
Address
1138 E Tennessee St
City
Tallahassee
State
Florida
Zip
32308-6912
Phone Number
850-509-2311
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
66563 (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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