Individual
NICOLE ELIZABETH LUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., E.M.T.
Contact information
Practice address
44 FOREST RD, COVENTRY, CT 06238-2920
(860) 377-4413
Mailing address
44 FOREST RD, COVENTRY, CT 06238-2920
(860) 377-4413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10726
CT
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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