Nickey Dawn Colclasure, LMT

NPI #1578253118 in Bentonville, Arkansas

Provider Information

NPI Number: 1578253118
Entity Type: Individual
Name: Nickey Dawn Colclasure, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 8, 2023
Last Updated: May 8, 2023

Practice Location

Address: 2711 SE I ST STE 11
City: Bentonville
State: Arkansas
ZIP Code: 72712-3209
Phone: (479) 256-2170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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