Individual provider · Type 1 NPI

Nichole Jean Burgess, LMT

Massage Therapist · Fort Wayne, IN

NPI number 1447880778 Active

Practice location

1230 Ruston Pass Ste B
Fort Wayne, IN 46825-1572

Call (260) 797-6100 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT22007086 (IN)

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 1447880778

Nichole Jean Burgess, LMT's National Provider Identifier is 1447880778, issued on Jan 26, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 26, 2020.