Individual
NICOLE LATHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
151 PORTAGE TRL, LOWER LEVEL #2, CUYAHOGA FALLS, OH 44221-4422
(330) 524-9881
Mailing address
1732 23RD ST, CUYAHOGA FALLS, OH 44223-1004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.024426
OH
Other
Enumeration date
10/08/2019
Last updated
09/12/2023
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