Teren D. Nichols, L.M.T.
NPI #1083814602 in Indialantic, Florida
Provider Information
- NPI Number
- 1083814602
- Entity Type
- Individual
- Name
- Teren D. Nichols, L.M.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- L.M.T.
- Enumeration Date
- Jul 22, 2007
- Last Updated
- Jul 22, 2007
Practice Location
- Address
- 429 5TH AVE
- City
- Indialantic
- State
- Florida
- ZIP Code
- 32903-4240
- Phone
- (321) 848-8064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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