Individual provider · Type 1 NPI
Stephen G. Nicholson Jr.
Massage Therapist · Tallahassee, FL
NPI number
1861100596
Active
Practice location
1138 E Tennessee St
Tallahassee, FL 32308-6912
Mailing address
3297 Connie Dr
Tallahassee, FL 32311-5209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 66563 (FL) |
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 1861100596
Stephen G. Nicholson Jr.'s National Provider Identifier is 1861100596, issued on Nov 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tallahassee, FL. The record was last updated on Nov 11, 2022.