Individual
NICOLE D BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBWMT
Contact information
Practice address
10303 N PORT WASHINGTON RD STE 102, MEQUON, WI 53092-5760
(262) 505-7950
Mailing address
W140N11945 COUNTRY AIRE DR, GERMANTOWN, WI 53022-2700
(262) 505-7950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12824-146
WI
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us