Individual provider · Type 1 NPI

Kimberly Joan Nicholson, PTA/LMT

Massage Therapist · Weston, WV

NPI number 1669587754 Active

Practice location

230 Hospital Plz
Weston, WV 26452-8558

Call (304) 269-8097 Map

Fax (304) 269-8187

Mailing address

401 3rd St
Stonewood, WV 26301-4645

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X000951 (WV)
Massage Therapist Primary 225700000X2004-1442 (WV)

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 1669587754

Kimberly Joan Nicholson, PTA/LMT's National Provider Identifier is 1669587754, issued on Aug 20, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Weston, WV. The record was last updated on Sep 11, 2025.