Individual
ERICKA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 W 45TH ST, NEW YORK, NY 10036-4602
(614) 290-6959
Mailing address
3475 BEACHWORTH DR APT C, COLUMBUS, OH 43232-6161
(614) 290-6959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33021284
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1449663
AMTA
OH
Enumeration date
09/17/2020
Last updated
09/17/2020
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