Individual
KOBIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
5412 4TH ST NW APT 6, WASHINGTON, DC 20011-3152
(424) 236-0119
Mailing address
5412 4TH ST NW APT 6, WASHINGTON, DC 20011-3152
(424) 236-0119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2000081
DC
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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