Individual
SUSAN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 EMPIRE BLVD, ROCHESTER, NY 14609-5948
(585) 730-8730
Mailing address
700 EMPIRE BLVD, ROCHESTER, NY 14609-5948
(585) 730-8730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015399
NY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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