Individual
NICKLAUS JAMES MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1026 MANSFIELD AVE UNIT B, NASHVILLE, TN 37206-3516
(818) 404-1091
Mailing address
1026 MANSFIELD AVE UNIT B, NASHVILLE, TN 37206-3516
(818) 404-1091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000012412
TN
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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