Individual provider · Type 1 NPI
Nicole M. Mizell, L.M.T.
Massage Therapist · Mineola, NY
NPI number
1487872578
Active
Practice location
42 Fairfield Ave
Mineola, NY 11501-3336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 020609 (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 1487872578
Nicole M. Mizell, L.M.T.'s National Provider Identifier is 1487872578, issued on Apr 23, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mineola, NY. The record was last updated on Jul 8, 2007.