Individual
AMANDA LEE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3703 TAYLORSVILLE RD STE 213, LOUISVILLE, KY 40220-1331
(502) 533-4944
Mailing address
3544 BROCKTON LN APT 11, LOUISVILLE, KY 40220-1735
(502) 533-4944
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108371
KY
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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