Nicole D Bullock, LBWMT

NPI #1023604048 in Mequon, Wisconsin

Provider Information

NPI Number
1023604048
Entity Type
Individual
Name
Nicole D Bullock, LBWMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LBWMT
Enumeration Date
Dec 14, 2020
Last Updated
Dec 14, 2020

Practice Location

Address
10303 N PORT WASHINGTON RD STE 102
City
Mequon
ZIP Code
53092-5760
Phone
(262) 505-7950

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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