Individual provider · Type 1 NPI
Nicole R. Pavlus, LMT
Massage Therapist · Durham, NC
NPI number
1982302063
Active
Practice location
4210 N Roxboro St Ste 129
Durham, NC 27704-1874
Mailing address
2212 Tanners Mill Dr
Durham, NC 27703-9524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18212 (NC) |
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 1982302063
Nicole R. Pavlus, LMT's National Provider Identifier is 1982302063, issued on Feb 20, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Durham, NC. The record was last updated on Feb 20, 2023.