Shanda Kay Nichols, LMT

NPI #1134762032 in Savoy, Illinois

Provider Information

NPI Number: 1134762032
Entity Type: Individual
Name: Shanda Kay Nichols, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 23, 2019
Last Updated: Oct 23, 2019

Practice Location

Address: 1810 WOODFIELD DR STE 201
City: Savoy
State: Illinois
ZIP Code: 61874-9377
Phone: (217) 419-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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