Individual
MS. CARLA JEAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4020 RHEA RD, SUITE 8-A, WICHITA FALLS, TX 76308-2739
(940) 692-1311
Mailing address
5302 PEPPERBUSH, WICHITA FALLS, TX 76310-3480
(940) 867-5933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT038811
TX
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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