Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE A DEITRICK, LMT
Active Sole ProprietorNICOLE A DEITRICK, LMT is a Specialist healthcare provider located in PALMETTO, Florida. NPI 1184638447 is currently active in the NPPES registry. Verify at CMS.
Specialist · PALMETTO, FL
Registration Details
- NPI Number
- 1184638447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2006 (20.058505865118 yrs)
- Last Updated
- Sep 25, 2025
- License
-
MA29664 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1415 10TH ST EPALMETTO, FL, 342214278Browse FL providers · Browse ZIP 34221
- Phone
- 9417214559
- Fax
- 9417210142
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PALMETTO, FL
| Name | Credential | NPI |
|---|---|---|
| BRENDA VANLANDINGHAM | LMT | 1134257371 |
| SHANNON LANE | COTA/L | 1093089179 |
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.