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.
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)
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)