Individual
NICHOLAS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCTMB, NCTMB, HHP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82703
CA
226300000X
Kinesiotherapist
803905
CA
Other
Enumeration date
06/22/2017
Last updated
04/20/2023
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