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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 108371 (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.