National Provider Identifier

Nickolas Clidas, LMT

Nickolas Clidas, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Rochester, NY and a listed phone number of (585) 733-0488.

NPI 1568906642Rochester, NYMassage Therapist

Source: public NPPES record, last updated December 08, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1568906642
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
December 08, 2016
Last Updated
December 08, 2016

Practice Location

  • 25 Canterbury RD
  • Suite 200
  • Rochester, NY 14607-3403

Phone: (585) 733-0488

Specialties

  • Massage Therapist (225700000X)

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Full Record
NPI
1568906642
Entity Type
Individual
Last Name
Clidas
First Name
Nickolas
Name Prefix
Mr.
Credential
LMT
Mailing Street Address
25 Canterbury RD
Mailing Address Line 2
Suite 200
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-3403
Mailing Country
US
Mailing Phone
(585) 733-0488
Practice Street Address
25 Canterbury RD
Practice Address Line 2
Suite 200
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-3403
Practice Country
US
Practice Phone
(585) 733-0488
Enumeration Date
December 08, 2016
Last Updated
December 08, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)
Other Identifiers
027773 (NY, Nys Dept Of Education, Massage Therapist License)