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Nicole Renee Wisda, LMT

Massage Therapist in Flint, MI. Individual provider (NPI-1).

NPI number1932781663
StatusActive
Last updated in NPPESApr 22, 2021

Details

NPI
1932781663
Entity type
Individual (NPI-1)
Name
Nicole Renee Wisda
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 22, 2021
Certification date
Apr 22, 2021
Last updated
Apr 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist750100714MIYes

Practice location

G3277 Beecher Rd
Flint, MI 48532-3615

Phone 810-282-4278

Mailing address

G3277 Beecher Rd
Flint, MI 48532-3615

Phone 810-282-4278

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