Individual
DANIEL WAYNE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
118 S KIMBERLY AVE, SOMERSET, PA 15501-2069
(724) 708-1133
Mailing address
1857 SANDY RUN RD, CONFLUENCE, PA 15424-2643
(724) 708-1133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013656
PA
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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