National Provider Identifier
Nichole Rae Douglas, L.M.T
Nichole Rae Douglas, L.M.T is listed in the NPPES registry with a primary specialty of Massage Therapist in Batavia, NY and a listed phone number of (585) 813-6993.
Profile Overview
- NPI
- 1417265984
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- September 18, 2010
- Last Updated
- December 28, 2010
Practice Location
- 154 Pearl St
- Up Stairs
- Batavia, NY 14020-2914
Phone: (585) 813-6993
Mailing Address
- 86 Myrtle St
- Le Roy, NY 14482-1331
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1417265984
- Entity Type
- Individual
- Last Name
- Douglas
- First Name
- Nichole
- Middle Name
- Rae
- Credential
- L.M.T
- Mailing Street Address
- 86 Myrtle St
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-1331
- Mailing Country
- US
- Mailing Phone
- (585) 813-6993
- Practice Street Address
- 154 Pearl St
- Practice Address Line 2
- Up Stairs
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2914
- Practice Country
- US
- Practice Phone
- (585) 813-6993
- Enumeration Date
- September 18, 2010
- Last Updated
- December 28, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)