Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE D BULLOCK, LBWMT
Active Sole ProprietorNICOLE D BULLOCK, LBWMT is a Massage Therapist healthcare provider located in MEQUON, Wisconsin. NPI 1023604048 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MEQUON, WI
Registration Details
- NPI Number
- 1023604048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2020 (5.6403510070464 yrs)
- Last Updated
- Dec 14, 2020
- License
-
12824-146 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10303 N PORT WASHINGTON RD STE 102MEQUON, WI, 530925760Browse WI providers · Browse ZIP 53092
- Phone
- 2625057950
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MEQUON, WI
| Name | Credential | NPI |
|---|---|---|
| MS. MARY CLAIRE STILLMAN | LMT | 1023589835 |
| MRS. RENEE LYNN GOLDMAN | LMT | 1093600942 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.