Individual
SARAH ANNE NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2065 CAMPBELL DR, HURON, SD 57350-3433
(605) 461-3906
(605) 352-9776
Mailing address
2065 CAMPBELL DR, HURON, SD 57350-3433
(605) 461-3906
(605) 352-9776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT10010
SD
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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