Individual provider · Type 1 NPI
Nichole Lynn Shue, LMT
Massage Therapist · Liverpool, NY
NPI number
1356804306
Active
Practice location
609 7th North St
Liverpool, NY 13088-6554
Mailing address
125 Tuller Rd
North Syracuse, NY 13212-1656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 029552 (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 1356804306
Nichole Lynn Shue, LMT's National Provider Identifier is 1356804306, issued on Apr 8, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Liverpool, NY. The record was last updated on Apr 8, 2019.