Amanda J Nichols, LMT
Massage Therapist in Clarksburg, WV. Individual provider (NPI-1).
NPI number1255673232
StatusActive
Last updated in NPPESMar 18, 2013
Details
- NPI
- 1255673232
- Entity type
- Individual (NPI-1)
- Name
- Amanda J Nichols
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2013
- Last updated
- Mar 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 587800-10 | WV | Yes |
Practice location
217 N 27th StClarksburg, WV 26301-2310
Phone 304-623-7800 · Fax 304-623-0706
Mailing address
217 N 27th StClarksburg, WV 26301-2310
Phone 304-623-7800 · Fax 304-623-0706
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All 11 Massage Therapist providers in Clarksburg · All 1,434 providers in Clarksburg
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