NPI 1255673232

Amanda J Nichols, LMT

Practitioner Massage Therapist Clarksburg, WV

Practice location

Address: 217 N 27th St, Clarksburg, WV 26301-2310
Phone: (304) 623-7800
Fax: (304) 623-0706

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 587800-10 (WV)

Other Massage Therapist providers in West Virginia →

Registry record

NPI: 1255673232
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2013
Record last updated: 18 Mar 2013

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.