Individual
NICHOLAS PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2017 CATO AVE STE 101, STATE COLLEGE, PA 16801-2765
(814) 826-3935
Mailing address
2017 CATO AVE STE 101, STATE COLLEGE, PA 16801-2765
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006886
PA
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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