Individual provider · Type 1 NPI
Nicole Mallon, LMT
Massage Therapist · Batesburg Leesville, SC
NPI number
1497632020
Active
Practice location
3886 Double Bridges Rd
Batesburg Leesville, SC 29006-8642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13526 (SC) |
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 1497632020
Nicole Mallon, LMT's National Provider Identifier is 1497632020, issued on Aug 18, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Batesburg Leesville, SC. The record was last updated on Aug 18, 2025.