Individual provider · Type 1 NPI

Nicole Renee Wisda, LMT

Massage Therapist · Flint, MI

NPI number 1932781663 Active

Practice location

G3277 Beecher Rd
Flint, MI 48532-3615

Call (810) 282-4278 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X750100714 (MI)

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 1932781663

Nicole Renee Wisda, LMT's National Provider Identifier is 1932781663, issued on Apr 22, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Flint, MI. The record was last updated on Apr 22, 2021.