MS. Nicole L Libschik, L.M.T.

NPI #1295030575 in Ronkonkoma, New York

Provider Information

NPI Number: 1295030575
Entity Type: Individual
Name: MS. Nicole L Libschik, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jan 18, 2011
Last Updated: Jan 18, 2011

Practice Location

Address: 211 DEER RD
City: Ronkonkoma
State: New York
ZIP Code: 11779-4801
Phone: (917) 806-4676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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