Individual provider · Type 1 NPI

Maya Grace Nicholls, CMT

Specialist · Petaluma, CA

NPI number 1356601033 Active

Practice location

405 D St, Suite 1
Petaluma, CA 94952-3006

Call (415) 342-1345 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1356601033

Maya Grace Nicholls, CMT's National Provider Identifier is 1356601033, issued on May 29, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Petaluma, CA. The record was last updated on May 29, 2012.