Individual
LISA NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 CHRISTINA DR APT 202, ROYAL PALM BEACH, FL 33414-2192
(347) 551-2544
Mailing address
610 CHRISTINA DR APT 202, WELLINGTON, FL 33414-2192
(347) 551-2544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95463
FL
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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