Individual provider · Type 1 NPI
Nicole Lee Legere, LMT
Massage Therapist · Ashtabula, OH
NPI number
1720797640
Active
Practice location
6435 S Main St
Ashtabula, OH 44004-4840
Mailing address
3635 Lake Rd
Conneaut, OH 44030-3115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 33.025551 (OH) |
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 1720797640
Nicole Lee Legere, LMT's National Provider Identifier is 1720797640, issued on Nov 18, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ashtabula, OH. The record was last updated on Nov 18, 2022.