Individual
NICOLE BIRNHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
104 S POINSETT HWY STE C2, TRAVELERS REST, SC 29690-1843
(864) 610-5101
Mailing address
33 HIGH PINE TRL, GREENVILLE, SC 29617-1337
(336) 324-0327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12764
SC
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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