NPI 1063744506

Carla Jean Nichols, LMT

Practitioner Massage Therapist Wichita Falls, TX

Practice location

Address: 4020 Rhea Rd Suite 8-A, Wichita Falls, TX 76308-2739
Phone: (940) 692-1311
Mailing address: 5302 Pepperbush, Wichita Falls, TX 76310-3480

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT038811 (TX)

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Registry record

NPI: 1063744506
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2010
Record last updated: 9 Feb 2010

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.