Individual
NICOLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
330 E MAPLE RD STE H, TROY, MI 48083-2706
(248) 795-5196
Mailing address
330 E MAPLE RD STE H, TROY, MI 48083-2706
(248) 795-5196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501015037
LMT
MI
Enumeration date
05/27/2022
Last updated
05/27/2022
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