Individual
NICOLE E UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
279 U.S. 4 BUISNESS, CENTER RUTLAND, VT 05736
(802) 775-4372
Mailing address
279 U.S. 4 BUISNESS, CENTER RUTLAND, VT 05736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164.0001760
VT
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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