Individual
NICOLE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 N 8TH ST STE 203, MANITOWOC, WI 54220-3959
(920) 860-1111
Mailing address
624 N 8TH ST STE 203, MANITOWOC, WI 54220-3959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3524-146
WI
Other
Enumeration date
12/15/2020
Last updated
12/16/2020
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