Individual provider · Type 1 NPI
Shirley Dianne Nicks, CMT
Massage Therapist · Pope Valley, CA
NPI number
1457595639
Active
Practice location
8450 Butts Canyon Road
Pope Valley, CA 94567
Fax (707) 965-9242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
About NPI 1457595639
Shirley Dianne Nicks, CMT's National Provider Identifier is 1457595639, issued on May 1, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pope Valley, CA. The record was last updated on May 1, 2009.