Individual
NICOLE JOY HURTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
636 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 374-1153
(501) 374-6213
Mailing address
636 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 374-1153
(501) 374-6213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4002
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4002
LICENSE
AR
Enumeration date
02/12/2008
Last updated
02/12/2008
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