Individual
NICOLE AMY KOSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT 012110
Contact information
Practice address
8740 N. LAMAR BLVD., AUSTIN, TX 78753
(512) 835-1182
(512) 835-1888
Mailing address
8740 N. LAMAR BLVD., AUSTIN, TX 78753
(512) 835-1182
(512) 835-1888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT012110
TX
Other
Enumeration date
05/02/2016
Last updated
05/03/2016
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