Individual
NICHOLAS ANTHONY NICASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 IOWA ST, ASHLAND, OR 97520-2942
(541) 591-2638
Mailing address
680 IOWA ST, ASHLAND, OR 97520-2942
(541) 591-2638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25241
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97520
ZIP CODE
OR
Enumeration date
07/17/2020
Last updated
07/17/2020
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