NPI 1013469915

Dandy Nichols, NMTLMT

Practitioner Massage Therapist Atlanta, GA

Practice location

Address: 6065 Roswell Rd STE 170, Atlanta, GA 30328-4034
Phone: (512) 589-7274
Mailing address: 5966 Heritage Ln, Stone Mountain, GA 30087-1858

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT009639 (GA)

Other Massage Therapist providers in Georgia →

Mechanotherapist

Other Service Providers Taxonomy 172M00000X Licence MT009639 (GA)

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Registry record

NPI: 1013469915
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2016
Record last updated: 6 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.