Individual provider · Type 1 NPI

Amanda Lee Nichols, LMT

Massage Therapist · Louisville, KY

NPI number 1659886141 Active

Practice location

3703 Taylorsville Rd Ste 213
Louisville, KY 40220-1331

Mailing address

3544 Brockton Ln Apt 11
Louisville, KY 40220-1735

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X108371 (KY)

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 1659886141

Amanda Lee Nichols, LMT's National Provider Identifier is 1659886141, issued on Dec 6, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Dec 6, 2017.