Individual
TONYA (NIKKI) CROAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
387 COUNTY LINE RD W STE 225, WESTERVILLE, OH 43082-6918
(614) 882-4411
(614) 882-4475
Mailing address
393 HICKORY LN, WESTERVILLE, OH 43081-3082
(614) 218-5512
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
321710
OH
225700000X
Massage Therapist
Primary
33.008011
OH
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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