Individual provider · Type 1 NPI
Nicole Stockwell, L.M.T.
Massage Therapist · Burrillville, RI
NPI number
1487955803
Active
Practice location
1452 Broncos Hwy, Suite 3
Burrillville, RI 02830-1660
Fax (401) 371-2892
Mailing address
500 Reservoir Rd
Pascoag, RI 02859-3532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT00609 (RI) |
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 1487955803
Nicole Stockwell, L.M.T.'s National Provider Identifier is 1487955803, issued on Nov 17, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burrillville, RI. The record was last updated on Nov 17, 2010.