Individual
NICOLE LEE LEGERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6435 S MAIN ST, ASHTABULA, OH 44004-4840
(440) 812-3938
Mailing address
3635 LAKE RD, CONNEAUT, OH 44030-3115
(440) 812-3938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.025551
OH
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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