Organization
MS NICKYS BODY SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOHNSON (OWNER/PRACTIONER)
(702) 268-6488
Entity
Organization
Contact information
Practice address
1593 US HIGHWAY 22 STE 125, WATCHUNG, NJ 07069-6507
(858) 356-4259
Mailing address
514 LOCUST ST, ROSELLE, NJ 07203-1146
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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