Nicholle Gloria Fenton
Massage Therapist in Greensburg, PA. Individual provider (NPI-1).
NPI number1245844950
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1245844950
- Entity type
- Individual (NPI-1)
- Name
- Nicholle Gloria Fenton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | msg013697 | PA | Yes |
Other names
- Nicholle Gloria Fenton (Former Name)
Practice location
448 Willow Crossing RdGreensburg, PA 15601-9122
Phone 412-417-8899
Mailing address
448 Willow Crossing RdGreensburg, PA 15601-9122
Phone 412-417-8899
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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