Individual provider · Type 1 NPI

Nicole S. Fader, LMT

Massage Therapist · Long Beach, NY

NPI number 1275724924 Active

Practice location

202 W Park Ave, Suite 201
Long Beach, NY 11561-3212

Call (516) 606-5473 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X015711-1 (NY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1275724924

Nicole S. Fader, LMT's National Provider Identifier is 1275724924, issued on Aug 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Beach, NY. The record was last updated on Aug 7, 2007.