Individual
NICOLE LYN MISKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
241 GARDEN ST, LOCKPORT, NY 14094-3056
(716) 433-8782
Mailing address
75 POUND ST, APARTMENT 2, LOCKPORT, NY 14094-3921
(716) 598-3081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019578
NY
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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