Individual
CAITLIN NIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 PINE LILLY CIR, DAYTONA BEACH, FL 32117-7114
(386) 215-9128
Mailing address
P.O. BOX 1433, 336 E. NEW YORK AVE., DELAND, FL 32724
(386) 215-9128
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71336
FL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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