Nicole Marie Buchwald, L.M.T., P.T.A.

NPI #1124415278 in Wixom, Michigan

Provider Information

NPI Number: 1124415278
Entity Type: Individual
Name: Nicole Marie Buchwald, L.M.T., P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T., P.T.A.
Enumeration Date: Apr 15, 2015
Last Updated: Apr 15, 2015

Practice Location

Address: 49357 PONTIAC TRL
Address 2: SUITE 104
City: Wixom
State: Michigan
ZIP Code: 48393-2068
Phone: (248) 445-0788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Massage Therapist	225700000X	Primary

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